HomeMy WebLinkAboutBuiding Permit Application 1012412018 16:20 TO P.0021004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 O"a l& Permit Number: 1 g 10- 0 5571
•COUNTY +, - •
P i 0 0. i u n • .
' Building Permit ApplicatiOn '
Planning and Development,Services '
Building and Code Regulation Division
2300-Virginia Avenue,Fort Pierce FL 34982 e
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XX
. . PERMIT APPLICATION FOR: Mechanical . 'I •
. PROPOSED IMPROVEMENT LOCATION: ! .
Address: 8114 Saratoga Way
I
Legal Description:
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Property Tax ID#: 3321-502-0036-000-7 • Lot No. •
Site Plan Name: Block No,
Project Name: '
Setbacks Front _ Back:_ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC change out- lennox 16seer 3.5ton system 9kw •
CONSTRUCTION INFORMATION:
Additional work to be rformed under this permit—check all apply:
E✓ HVAC L.,Gas Tank Das Piping Shutters Q Windows/Doors j
0 Electric Q Plumbing Sprinklers 11GeneratorEl Roof Roof pitch
Total Sq.Ft of Construction: S9:4 of First Floor:
Cost of Construction:$ 8000.00 Utilities:LI Sewer I Septic Building Height:
OWNER/LESSEE: CONTRACTOR: ,
Name Tricia Lee Name; Scott Camir6
Address:8114 Saratoga Way Company: AC Advantage Inc
City: PSLucie State:FL Address: 1926 SW Biltmore St
Zip Code: 34986 Fax: City: PSLucIe State:Fl- 'I
34984 7723387566 ,
Phone No. i Zip Code: Fax: ��
E-Mail: 1 Phone No. 7723367366 •I
Fill in fee simple Title Holder on next page(if different E-Mail: csr( acadvantagelnc.com • ;i
from the Owner listed above) State or County License: CMC1249807 IL
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1
10124/2018 16:20 WAX) P.0031004
11
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 ,j .
Name: Name: _ ._.---__
Address:1926 SW Biltmore St. Address: • -
City: City:
Zip:. • _Phone: Zip: Phone: _ ...
OWNER/CONTRACTOR AFFIDVIT;Application Is hereby made to obtain a permitto 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 inonflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Pease 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 Harida 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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
comme ing work or recording your Notice of Commencement/ C _ _
gnature of Owner/Lessee/Contractor as Agent for Owner _ ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucia COUNTY OFatwee
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged J2efore me
this 19 day of oct .. . ,20 14 by this to day of clot ,20 j by '
r ICO
Scott Camk ' ir OM _ Scot Cerntre _ -
Name of person making statement —� } Name of person making statement tit 1
Personally Known XX OR Produced Identific Personally Known XX OR Produced Identificati 'u- T'
Type of identification - Type of identification
Produced \ 1 .7114 iHs .a.
Produced
dihi.., , ,_ ,....., I i§g 44 9 i..
IINFAM\V1 _L:'l _ fie\
(Sign- ure of Nota Public-State of Florida) ., �,.;;_ (Signa re of Notary P biic-State of Florida) -....ii` '�'
•
AI- -op
Commission No, FF172282 (seal) �,,,�i 1:?` Commission No. FF172262 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ,;'
DATE 1
RECEIVED
DATE •'
COMPLETED
Rev.8/2/17
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