HomeMy WebLinkAboutBuiding Permit Application 1012412018 16:19 TAR) P.0021004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 X3.5 I(q Permit Number:_ 10I 0 ' 65, 5 .
COUNTY w� I '
PLORIDA -
Building Permit Application ' . . •
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Planning and Development Services , , •
'Building and Code Regulation Division ' , •
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 • Commercial I#esidential xx
PERMIT APPLICATION FOR: Mechanical -
PROPOSED IMPROVEMENT LOCATION:.
Address: 7636 Greenbrier Circle
Legal Description:
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Property Tax ID#: 3322-700-0061-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRiPTION OF WORK:
AC change out=lennox *I 5.5seer 3ton system 9kw
CONSTRUCTION INFORMATION:
Additional work to be erfarmed under this permit—check all apply:
IHUVAC i,Gas Tank DIJ
Gas Piping _Shutters 1=1 Windows/Doors
0 Electric 0 Plumbing ❑Sprinklers ❑Generator 0 Roof Roof pitch
Total Sq.Ft of Construction: S 14 of First Floor:
Cost of Construction:$ 6735 Utilities:LJSewer„,_,Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
-Name Sandra Bernstein Name: Scott Camire
Address:7636 Greenbrier Cir• Company: AC Advantage Inc
City: PSLucie _ State:FL Address: 1926 SW Biltmore St
Zip Code: 34988 Fax: City: PSLucie State:FL
Phone No. . Zip Code: 34984 Fax: 7723367566 1'
E-Mall: Phone No. 7723367386
Flinn fee simple Title-Holder on next page(if different E-Mail: csr@acadvantagelnc.com
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from the Owner listed above) State or County License: CMC1249807
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1012412018 16:19 TAX) P.0031004
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 -
Name: Name:
Address:10x0 SW atltmore St 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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenants 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 recorded and posted on the jobsite
before the first Inspection. If you intend to obtain financing,consult with lender or an attorney before
comme t ing work or recording your Mice of Commencement. 1 t
5_ ature of Owner/Lessee/Contractor as Agent for Owner Sign- re of Contractor/License Holder 1
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st Lucie COUNTY OF st Luce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1c day of oa ,2018 by this 16 day of oct 20 j§by .
Scott Cam1rs Scott Camira ,
Name of person making statement •''' ' Name of person making statement 0 ,'
Personally Known xx OR Produced Iden;,:l la,' Personally Known xx OR Produced Identification
Type of Identification s�. 1_ Type of Identification
Produced t. :