HomeMy WebLinkAboutBuilding Permit Application 1 I'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� ,
Date: 9/25/2018 Permit Number: !11 g0"1--�10 /{�
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ANIIMMIMENMPINEM., _Is
W eitrial••4,-�
COUNTY ':� RECEIVEDF L O R l D A,
Building Permit Application SEP 2 8 P018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Caune1,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
`PROPOSED-IMPROVEMENT LOCATION
Address: 9200 One Putt Place, Port St. Lucie, FL 34986
Legal Description: PGA Island Club House
Property Tax ID#: 3334-501-0005-000-8 __ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION WORK:''''
Replacing Lennox 2 speed like for like with a Carrier 2 speed condenser 24ACB724A003, air handler
FV4CNF002L00, 2 ton, 16 seer, 5 KW heat.
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit-check all apply:
HVAC Gas Tank riGas Piping _Shutters Q Windows/Doors.
ElElectric El Plumbing 0 Sprinklers ' El Generator Ill Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4500.00 Utilities:tl Sewer 111Septic Building Height:
OWNER/LESSEE: - CONTRACTOR `>
Name PGA Village POA, Inc. Name: Keith Thompson j.
Address:2140 NW Reserve Park Trace Company: AC Keith Inc.
City: Port St. Lucie State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34986 Fax: City: Port St Lucie State:FL
Phone No.561-866-8110 Zip Code: 34953 Fax:
E-Mail:dianeb@langmanagement.com Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@att.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL40 NS)PRU:010 W,LI.,E,kiLAWIN,F0RMATION rR
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confli
ct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work;
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
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accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
com enci g w• k •. -cordin: our Notice of Commencement.
ice- - %�
Signature of Own-• Lessee •` • • . •:ent for Owner Signature of Cont act' icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SM- LNa e...... COUNTY OF Si-. E,.c‘s 2
The forgoing instrument was acknowledged before me The for_going instrument was acknowledgedbefore me
thisa.% day of S€.A'I- ,20 it by this ,9-`6 day of Sepf ,20 [ by
Y\00-k i-t ,Apson wo- All -Thotn.pSowl
Name of person making statement L Name of person making statement I%
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced h- I- i j 1).• SU 3 C t(?570- Produced FL ioL 5(�'s03 c(,75-)0
/ /4 •
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(S': Lure of Notary Publi -S* ,Florida fl11. cure of Notary Pu f.I^
�RANCESCO MASUTTI / / �
�'� 1 ,,SPRY PV�,,�
+"' ac o °i. AN�jESC0 MASUTTI P
Commission No. .I.?-���. � �lPublic-State of Florida°,mmission No. , r•'r+
y min.Expires Nov 6,2018 _. ,_ Notitllic-State of Florida
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---7,,.�,.(,)u Commission # FF 1641170 0 .. IWC •cc My Comm.Expires Novi6,2018 I
Q Commission'#FF 164117
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® .•.' .,,. —, --..V.,'.‘--,..-- .±,01 a dREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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