HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: 2122119 Permit Number: 40401
111P 1,
Building Permit 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 Commercial Residential X
PERMIT APPLICATION FQR: Mechanical
P;ROPOSEDw'IMPROVEME:NT"LOCATI"ON
Address:.8933 Sandshot CT 5521
Legal Description. CASTLE PINES CONDOMINIUM (OR 2053-386)UNIT 5521 (OR 2240-1647)
Property Tax ID#: 3327-502-0291-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Kurt Winkler
Setbacks Front Back: Right Side: Left Side:
DETAILED DES -MPTIbN`OF WORK.w .'
A/C CHANGE OUT OF A 2.5 TON 14.25 SEER 5 KW YORK UNIT
CONSTRUCTION INFORMATION
.;,�. s .
. > .-
Additional work to be nertormed under tis permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3195 UtilitiesInSewer Septic Building Height:
OUVNER/LESSEE CONTRACTOR:
Name Kurt Winkler Name: GRETA B SMITH
Address:9330 World Cup WAY Company: ALL YEAR COOLING AND HEATING
City: Port Saint Lucie State:FIL Address: 1345 NE 4TH AVE
Zip Code: 34986 Fax: City: FORT.LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: JMANKOWSKI@ALLYEARAC.COM
from the Owner listed above) State or County License: CAC058160
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S,UPPLEMENTAL°CONSTRUCTIION LIEN LAIN INFORMATION`:
DESIGNER/ENGINEER: ^Not Applicable MORTGAGE COMPANY: Not Applicable
:J
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: i Address:
City: City:
Zip: Phone: Zip: Phone:
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 conflict 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.
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
commencing work or recording our Notice of Commencement.
f�• s
SignatukofOWner/Lessee/Contractor as Agent for Owner Signatu e of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF BROWARo
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of FEB20 19 by this zz day of FEB 20 19 by
Kurt Winkler 1 GRETA B.SMTH
(Name of person acknowledging) (Name of person acknowledging)
34t,rq- &_Z4 _]� 11
(Signature of Notary Public-State of Florida) (Signature of Notary Public- loduced
e of Florida)
Personally Known x OR Pro ced Identification Personally Known x 0 Identification
Type of Identification Pro Type of Identification' o .
oar P Notary Public State of Florida =o.�r P(,g Notary Public State of Florida
Commission No. : RobriMes Buckley Commission No. RobertJat Ackley
C c My ommission GG 040158 Q My Commission GG 040158
of�oP Expires IOL19/2020 �oe�oP� Expires 10/19/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS