HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/1/2018
FM W
.COUNTY
Permit Number:
Building Per -111"t Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462,1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Commercial
Residential X
Address: 8110 CARNOUSTIEPLACE, PORT SAINT L IE, FL 34986
L iription.. POD 20 CAT THE RESERVE PUD II CASTLE PINES (PB 43-1 LOQ` 120 OR 2270-1890
Property Tax ID . 3327-503-0045-000-4 Lot No. 120
Site Plan Name: Block Nok
project Naas:
Setbacks Front Right Side-. Left Side,
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install Rheem 3 Ton, 16 Seer, 7 KW Heater, SIC Split System, LIKE FOR LIKE,
CONSTRUCTION INFORMATION:
Id-Itionai work to
HVAC
OElectric
ie per-rormea,
Gas Tai n k
❑
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 41400.00
under this permit — check a
]Gas Piping
0 Sprinklers
apply:
L I Shutters
Generator
�. Windows/Doors
Roof
Ft. of First Fl r.
Utilities: Sewer Septic Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Lynch
Name: Kelly Certasimo
addrQss: 6 110 Carn°u5t'e Pace
Company: air Temp Alf Conditioning, Inc.
city: Port Saint Lucie State: FL
Address: 651 NW Enterprise Drive Suite #107
dip Code: 34986 fax:
City: Port Saint Lucie State: FL
Phone No. 516-635-4649
ZEp Code. 34986 Fax: 772-281-2907
E -Mail: tj15000@ao1,com
Phone Na. 772-340-0740
Fill in fee simple Title Helder on next page (if different
yahoa.com
E -Mail; airtempac@,yahoo.com
from the (?weer listed above]
Stade or County License: �AC1814837
If value of construction i $2500 or more,, RECORDED DE Notice of Commencement is required.
F UPPLEMENTALCONSTRUCTION.LIEN LAW INFORMATION:
DESIGN ER/ENGI NEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State,. City: State:
Zi p. Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Clfy:
Zip. Phone: Zip: Phone:_
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to c#n the work and installation as indicated.
I certify that no wank or installation has commenced prior to the issuance of a permit.
5t. Lucie County makes no representation that is granting a permit will authorize the ermit molder to built the subject Structure
which is in conflict with arty applicable Home Owners Assoc�at�vr� rules, bylaws or an 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, p or h e work
in accordance with the approved plans, the Florida Building. Codes. and St. Lucie County Amendments.
Th e o flowibg building permit applications a re exempt from u ndergoing a fuII concurrency review: room additional
accessory structures, swimming pools, fences, walls., signs, screen rooms and accessary uses to another non-residential use
WARNING TA OWNER: Your failure to Record a Notice of Commencement may result in your haying twice for
improvements to your property. A Notice of Commencement must be recorded and posted an the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing vuorK or recardin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/license Holder
STATE OF FLORIDA r STATE QF fLOR1DAC�COUNTY t3F '� CQUNTIf OF 7
The forgoing inst ment wa acknowledged before me The forgoing in5ir end wa acknowledged '�efflr� me
this � stay Q �0 ' by this � day of '�{ �(� by
N me of person making statement ame fj-0- IV- 4(
e on ma king sta�emertt
Personally Known _V QR Produced Identification Personally Known t OR Produced Identification
Type of lder�tifcatin Type of idenfiifcati n
Produced_ , ,..,_.,.. ._,.., produced
r
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(5 i6ZKre of NotaryPublic- State of Florida } (Sign'Adee' of Notary Fub1i - State o Florida )
i-
Commissivn No. � (Sea!) Commission No. (Seal)
Notary Public State of Floritis1$11�111111111��Jw��11 g!
11110114111
aL
• �, Notary Public State of Honda y Commission GG 176887 ���i�
REVIEWST� E r9MI�1�2oza SUPER V OR PLANS VEGET T�1Csi_ GR VE
q�-
REVIEW REV1 t.r '�r��Itlk�a�2o�� 3€V
SE
DATE
RECEIVED
DATE
COMPLETED
Rei. 8/2/17