HomeMy WebLinkAboutBuilding Permit Application 7724654945 p.2
Nov 26 18, 10:49a Advantage Air
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/26/2018 Permit Number: I(81 5(7
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J.:
COUNTY
vtomitmommxmo Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce R 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6061 ALEXANDRIA CIRCLE
Legal Description: PALM GROVE S/D ,\9cC (s39) 9o2 -
Property Tax ID#: 3410-50.3-0170-000-4 Lot No. 1
Site Plan Name: CAPOLDO Block No. F
Project Name: CAPOLDO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C CHANGEOUT, LIKE FOR LIKE , CHMAPION 3.5 TON 17 SEER 10KW
TC7B4221, AE42CX21 + TXV
CONSTRUCTION INFORMATION:
Additional work to bp_girformed under this permit—check all ihat apply:
60HVAC 1 Gas Tank Ekes Piping Shutters 11 Windows/Doors
Electric El Plumbing Sprinklers Generator D Roof Roof pitch
Total Sq. Ft of Construction: SI,E•li of First Floor:
Cost of Construction:$ 5050 Utilities: Sewer ri Septic Building Height:
•
OWNER/LESSEE: CONTRACTOR:
Name DONALD CAPOLDO Name: SAMUEL T.DURHAM
Address: 6061 ALEXANDRIA COURT Company: ADVANTAGE AIR CONCMONING Dc THE TREASURE COAST INC.
City: FT PIERCE State:FL Address: 601 SOUTH MARKET AVE
Zip Code: 34982 Fax: City: FT PIERCE State: -
Phone No."
Zip Code: 34984 Fax: 772-465-4945
E-Mail:" Phone No. 772-465-1606
Fill in fee simple Title Holder on next page(if different E-Mail: ADVANTAGEPERMITS@HOTMAILCOM
from the Owner listed above) State or County License: CAC039664
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
7724654945 P.3
Nov 26 18,1049a Advantage Air
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:601 SOUTH MARKET AVE Address:
City: City:
Zip: Phone: i Zip: Phone:
I
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 confict 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.
IIn 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. H
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
1 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
commencing work or recording your Notice of Commencement.
..i
S' nature of Own r/Lessee/intractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA. „ STATE OF FLORI 0 A
COUNTY OF _ LLC\e- CO cy-\\.,_ COUNTY OF . _
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ao day ofIN,\Z•j\leNcl\rjec,20i? by thisnroday of cAcKvil-toor ,20ii by
Name of person making statement
Personally Known 1, OR Produced Identification
Type of Identification
Produced PersonallNyaKmnoewnof perspnOR Produced Identification
making statement
Type of Identification
Produced
III • (g) 41i,c-, 4 , frn (TAcciA
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW '
DATE , I
RECEIVED
DATE
COMPLETED lopoiwilmumumprim. 1 '
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Rev.8/2/17 ' Ar ,. .‘ MY COMMISSION#GG 099038 i fy ,.!,, %,i MY COMMISSION ft GG 099038
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' •111,-... UPI RES:Apr1130,2021 , , 1,, --,•q, EXP1RES:April 30,2021
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,e,:Iro Banded Thru Notary ntific Ode , '..„gto. Banded Tru Notary Pubtic Undervidtors
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