HomeMy WebLinkAboutBuilding Permit Application All'APPUCABLE'INFO MUST:BE COMPLETED FOR APPLICATION TO�BE ACCEPTED
bate:2128/19 'Permit_NurnWr .��d�'� r
RECEIVED
.,COUNTY
_ N, SUilding, Permit AP -Heat ` _ FEB 2 8 2019
Planning and Development Services
-Building and CodeRegulotlon DivisionT, I.uel�[n�hty, f� Pfilltlfl�j
.2300 Virginio Avenue,Fort KOO F04982
Phone: (772)462-1553 Fak (772)462=1578 Commercial -_- _ Residential-x
-PERMIT TYP€: AC CHANGEOUT r
�PPROPOSEDaIMPROUEMENT LOCATiON� �� - `
,Address: 902=C SHOREWINDS DRIVE, FORT'PIERCE 34949
p 1425=701-0015=00.0-8
Pro a-rtY'laic I D#: - _ _ --_ _. _ _ _ Lot No.
Site,Plan Name: _ - Block No. >
Project-Name:
now
.,,. `,g., ... ra- s � ...r�=,*: .•r-�_.-� -`r�-..-....,.>..�_ � :-�. .a..' -.;gym.. ._ � ,.x:� s �, 3�"-'=-., n,.,.
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LIKE FOR LIKE AC CHANGEOUT
2 57O,N 14 SEER HORIZONTAL GOODMAN A10SYSTEM
Ct}lTRIICTICININFORtlATt4N PA
sr.`�fi� c �� , A_vM
Add Tonal work to 6e performed ,under,this,permit-check'all that apply:
Mechanical _Gas Tank _Gas Piping, _;Shutters Windows/Doors
_ Electric _Plumbing _Sprinklers Generator `.Roof Pitch
Tota l`Sg. Ft of Construction; _ ,Sq. R.of First Floor:
Cost of Construction:$ 4250.00' Utilities: _Sewer ,_Septic Building Height:
®OWNER/LESSEE:
• ' COLVTRACTC3R. � 06,
Name902 ShordWrids,LLC, Name PHILIP N19A JR-
Address:74-37
R-Address:7437 Bob O Link WAY C"mpa, :NISAIR AC
C PORT ST LUCIE - 3700 S: US`HIGHWAY`1
City PORT State:- Address:
--
ZipCode; 34986 Fax: __ - City: FORT,PIERCE _ State:FL
i Phone No 772-631-1977 . Zip-Code -34982 Fax:
- _ 772-466=81 15
E-Mail _ -__ _ _. Phone No
Fill in fee simple Title Holder on next,page,(IfAifferent E,IVIa (KRISTIN@NISAIR.COM
from the Ownerlisted.above); State or County LicenseCAC041199
If value;of construction 1s$2500,or more,a RECORDED:Notice of-Commencement is:required.
i If 4lue,6f HVAC Is$7oSW ormore 6 RECORDED'Notke.of Commence__ment is required;
SR)PPI EMEN 'ALOf�STf3CTl_ON Ll f.AW�II�(FO 11/lA7IC?N =
ti €
.
DESIGNER/ENGtNEER�' ,Not Applicable ;MORTGAGE COMPANY: _Not Applicable
Name: - ;Names
Address: Addre"ss:
:Ctyc Stater City:.
_Ip tPhone._
p•`
Zi Phone:,
_ -
FEE SIMPLE TITLE HOLDEW Not Applicable BONDING COMPANY:' _Not.Appl cable
Name:
City .
. .I City: ;
Phones Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Applicati"on'ls:hereby made to obtain a permit to-do_the.work and installation as indicated.
I Certify-that nd w.ork o�inStallBtion'has,commenced;prior'to the issuance of a'permit.
which�is-in,conflick,with an applicable Home.Ow
akes no.representatioii that is granting a permit fill authorize the� .ermit holder to build the subject`structure
St.Lucie Coun m _ I pp
y pp nets Association ru es;-by aws or and:covenantsthat rnay-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 iwill,in all respects,perform the work
In accordance with the approved,plans,the Florida Building Codes`and St:Lucie:Countjr Amendments:
The`followng building permit applications-are-exempt from undergoing a full concurrency-revlew:_roorn,additions,
,accesso_ry structures,swimming pools,#ences,;walls,'signs,screen rooms antl accessory uses to anothernon-resitlential use
"WARNING TO-OWNER: YOUR FAILURE TO;RECORD A NOTICE OF COMMENCEMENT:MAY RESULT'I N YOUR PAYING
'COMMENCEMENT MUST BE RECORDED
T1!1!ICE FOR_IMPROVEMENTS TO,YOUR PROPERTY,A NOTICE OF AND
POSTED ON THE 40B SITE BEFORE THE;FIRST'INSPECTION. IF YOU INTEND O'OBTAIN FINANCING;'CONSULT
1ii H'YOUR LENDERy;. R AN_ATTORNEY'BEFORE:RECORIDIlg =`.OUR;NOTICE'OF µ MMENCEMENT."'
s
,
`Signature of0 ne, Lessee/ ractatas Agentfor'Owner Signature f, onok ori a se Holder -
STATE.OF F A STATE O .F ORID,A
COUNTY OF-` .,
9 CQVNTY QFSTLUCIE'
The'forgoing instrument was acknowledged before me Ttie forgoing instrument-was acknowledged before-me
this_STM'.day of,FEBRUARY" ZQ_ by thls.18TH day Of FEBRUARY, 2i)� by
PHILIP VISA JR ;'.'PHILIP'NISA JR'
Name of,person ma king'statement. Name_of person making statement:
Personally,Known X OR'Produced'identification Personally Known X` OR:,Produced Identification
Type of Identification Type ofadentification
Produ Produce --
3
a 4 j
r („ nature of Notary Pu (S g ature of Notary <:ubli
KRISTIN BAITSHOLTS ,,,,,,� TIN
COfrlmiSSIOR NO.'�278527 ,. Stafe�((4��I r,Id,a Nota�Y Pubic c 727 c�y4 r i�'S a -fldem
��DSII
Col�imison.#GG?7.8527 CommiSSlon=:NO.
My-commission Expues G�mission`-Ex ire®
- - =7111 , 1,9,2023
A.0 pp
REVIEWS FRONT ZONING SUPERVISOR PLANS :VEGETATION SEA TURTLE MANGROVE `.
f COUNTER REVIEW REVIEW REVIEW REVIEW , ' REVIEW REVIEW
:.DATE- - ..
RECEIVED ;
D'A'CE:
= COMPLETED:.