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HomeMy WebLinkAboutBuilding Permit Application 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/3/2018 Permit Number: ( )I(1°" 0©84 _ dionsmammiimaimi Co • 0 R I 0 A l°C0i� Building Permit Application ocro o� Planning and Development Services St ktt• 701e Building and Code Regulation Division <4,,,9De fai2300 Virginia Avenue,Fort Pierce FL 34982 e cow e� Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical 0 PROPOSED IMPROVEMENT LOCATION: Address: 8145 SARATOGA WAY,PORT ST LUCIE,FL 34986 Legal Description: SABAL CREEK-PHASE II-LOT 81 (1.86 AC)(OR 1027-2872;2020-272) Property Tax ID#: 3321-502-0030-000-5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 2- LIKE FOR LIKE AC CHANGEOUTS, 2-2 TON LENNOX SPLIT SYSTEMS 25 - C&r k CONSTRUCTION INFORMATION: Additional work to be erformed under this permit–check all=.113x apply: HVAC Gas Tank Gas Piping —ll Shutters a Windows/Doors 0 Electric LJ Plumbing ❑Sprinklers El Generator 0 Roof Roof pitch Total Sq.Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 7300.00 Utilities:LISewer ElSeptic Building Height: OWNER/LESSEE: • CONTRACTOR: Name BRIAN&SUSAN BRESLAW Name: PHILIP NISAJR 1 Address: SARATOGA WAY Company: NISAIR AIR CONDITIONING City: PORT ST LUCIE State:F1 Address: 3700 S. US HIGHWAY 1 Zip Code: 34986 Fax: City: FORT PIERCE State:FL Phone No.772'332-5046 Zip Code: 34982 Fax: E-Mail: Phone No.772-466-8115 Fill in fee simple Title Holder on next page(if different E-Mail: KRISTIN@NISAIR.COM from the Owner listed above) State or County License: CAC041199 If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:BRIAN 8 SUSAN BRESLAW N a me:PHILIP NISA JR Address:8146 SARATOGA WAY,PORT ST LUCIE,FL 34986 Address: 8145 SARATOGA WAY City: PORT ST LUCIE State: City: FORT PIERCE State: Zip: Phone _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: __Not Applicable Name: Name: Address:3700 S.US HIGHWAY 1 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 conflict 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, 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 r-.corded and posted on the jobsite before the fi inspection. If you intend to obtain financing,consult wi hlender or an attorney before commencing p1' rk or recording your Notice of Commencement. ' Ni --6 - .Nliti Signaturef f Own'r Lessee/Contractor as Agent for Owner Signature o ` ontracto r/ erase Holder STATE 0 I FLORIDA STATE OF ARIDA COUNTY OF.,Luc,. COUNTY JfWpE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3RD day of OCTOBER ,201_5 by this 3RD day of OCTOBER ,2013by PHILIP NISAJR PHILIP NISA JR Name of person making statement Name of person making statement Personally Known xxx OR Produced Identification Personally Known )00( OR Produced Identification Type of Identification Type of Identification Produ Produced - ,r ` tMIL el,l !� PVL j 1 -13k ► 1 (S':nature of Notary Public-State of FInrida) (Si. ature of Notary Public-State of Florida 'yam".� 6 iB7tN GAITS.1 �,,., . TIN BAe7' Nf9�TS Commission NO. FEBRUARY 19,2019 ��`� v. '. sail SSion NO. FEBRUARY 19,2019 �4a M1 QR9Mi5SION#FF 201486 �• a' ;•: oTimi sett FFZI" 3 EXP9itE$February 1.9.2079 '3,f6 ,�,� . Nou :m,m AQY13900163 N ,a . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17