HomeMy WebLinkAboutBrunnerpermitappALLAPPLICABLEINFoMUSTBECoMPLETEDFoRAPPLICATIoNToBEACCEPTED
9;113..1211912018ffi Permit Number:
Building Permit APPlication
Plonning ond Development Services
Buitding and Code Regulotion Division
2300 V|rginia Avenue, Fort Pierce FL 34982
phon", ittzl qoz'ts53 Fax: (7721 462-1s78 Commercial-Residential x
^ ))-^--.26 San Roberto Fort Pierce, Fl 34951
Legal Descripl;on' Spanish Lakes County Club 700520029140
70a520029140 Lot No.
Property Tax lD #:
Block No.
Site Plan Name:
Project Name:
Setbacks Front Back:
-
Right Side: Left Side:
4.0 Ton 14 SEER
1 0 KW Heat
Like For Like
Straight Cool Package Unit
appty:
V
E
HVAC
Electric
Gas Tank
Plumbing
Piping Shutters
Generator
n *,noo*s/Doors
tr Sprinklers tr
Total Sq. Ft of Construction:Sq. Ft of First Floori
-
utirities:-l-lsewerEt"*. r*r*un.,-Cost of Construction' 5 6240'oo
tf value of construction is $25OO or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FoR: To Select from dropbox' click arrow at the end of line
Comfort Experts USA INC
Address: 664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie
phone ge. 772-873-3000
E-Mail : ckongerl 4@gmail.com
state or countv License: CAC1814439
Address:26 San Roberto
Fort Pierce State:FL
Zip Code:
phone 116. 931 -261-8773
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 u" recoided and bosted on the jobsite
before the first inspection. tf you intend to";;di; ii'i'i-.ii"s, ionirit *itr, lender or an attorney before
commencing work or rclqld Notice of Commencement'
Rev.8/21L7
Signature of Contr
STATE OF FLOR
COUNTY OF
Personally Known OR Produced ldentification
u{-
Name of person making statement
The forsoine instrument was acknowledgg{ before me
thisl4- dt orle(gm-b<l-- zol\3 5v
R'cWrt {\\a'icd\e .
Name of Person making statement
Personally Known OR Produced ldentification
Tvoe of ldentificationt15.r.J,@
Signature of Owner/
STATE OF FLORI
COUNTY OF
actor as Agent for Owner
(Signature of Notary Public-ATHERINE MI
State of Florida-No
S6slhmission * GG 2Mi Commission Er
CATHER]NE M
te of Florida-Not
mission {l GG
My Commission
November 01,
SEA TURTLE
REVIEW