HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
f)ate: 411512019
Permit JVi mbf—r:
Building Permit Application
Plonn ng and Development s
Build1n-9 and Cade Regulation D vWon
2300 ifrxgrny-9 Avenue, Fort Pierre FL 34982
Phone (772) 462-1553 Fax: (772) 462.1578 Commercial Residential
PERMIT TYPE: HVAC Mechanical AC Chap Out
a
IMPROVEMENT LOCATION:
Address: 9071 Short Chip CIRCLE, Port Saint Lucie, FL 3498 -
P ro pe r-ty Tax I D #: 3334-501-0163-000-3
Lot No_ 25
Site Plan Mame: LADES AT PGA VILLAGE APB 43-32) SLK D LOT 2 (OR 21W13,61) Block No, D -�
Project blame: HVAC MECHANICAL RE IOENTIAL AC CHANGIE OUT, U E FOR LVE
DETAILED DESCRIPTION OF WORKSCAiC hange Out Install RH EEM 3.5 TON. If) 3 E EI , 10 KW H EATEP,. gilt Coot Split System, LIEGE FOR LII F
CONSTRUCTION
INFORMATION:
Additional work to be performed under this permit check all that apply:
Mechanica
Electric
Gas Tank
— Plumbing
Total Sq. Ft of Construction.
St of Construction= s 5,10D.00
OWN EFS/LESSEE:
Ua,rne John J. Pcolka
— Gas. Piping
— Sprinklers
Address: 9071 Short Chip CIRCLE
ROLE
City: Part a I lit Luc ie 51 ate,
Zip Code', 34986 Fax:
Phone No. 203-915-3911
E -Mail:
Shutt 1`5 Wiredo s/Doors
_Gefnerator Roof Pitch
Sq. Ft. of First Floor,
Uti I ities: _ Sewer _ Septic Building Height:
F I I in fee simple Title molder on next page ( if different
from the Owner listed above)
O ITR, R:
amr1 Kelly Certoslmo -
Compariy AIR TEMP AIR CONDITIONING. I ING. INC.
Addre��;; 551 NW rnwrprise Drive Suite # 107
Citr Port Saint Luse Stag= aFL
Zip Code; 34986 Fax_ 772-281-2907
Phone No 772-340-0740
E -Mail aiirternpac ya f oo. c�om
State or County License C 1814837
If value of construction is x-2.500 or rnorer a RECORDED NoCKe Of Comnaenmment is required.if value of HVAC is $7,500 or more, a RECORDED Notice of Cornmencernent is required.
SUPPLEMENTAL CONSTRUCTION LIEN ANFOR ATI I:
OESIGNER/ENGINEER:
Not Applicable
Name:
City: State:
zip: Phone -
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name,
d d rest
city;.
Zip: Phone:
MORTGAGE COMPANY:
Barre:
Andress.
City.,
Zip: Phoma,
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address -
city
dip: Phone:
[AWN ER./ CONTRACTOR AFF I DVIT: Ap p I i uatia n i s hereby made to obta i n a perrnit to do the -. ork a nd insta I la t i on as i n d ii ed,
I certify that no woo or installation has commenced prior to the issuance of a perrmt.
St. Lucie Coon.ty makes no reprosentatFon that is granting a permit will autharize the permit holder to buIId the subject structure
wh i ch i s in con ick with a ny ap p l i ca bi'� H am a Owners Association rules, hurl Epws or a nd covenants th at rn a y+ rest riot or prohi b it smch
stru r-tu re. Plea se consultwith yo u r H omo Own ars Assn ciation a rid review yo u r deed for any restrictio n s wh i ch may ap p IV.
in cansi d e ration of the granting of this requested permit:, I do hereby agree that I VAII, in a I I respects, perfo rrn the work
in accordance with the approved plans, the Fiorida Building Cud es and St. Lucie County Amen drnents_
The following building perrnit. applications We exempt from undergofri a full Concurrency review- room addition,
accessory structures, swimrn-3ng pools, fences, ywaIIs, signs, screen ruoms anal accessory uses to @nother ,tion -residential use
"WARNING TO, OWNER YOUR FAILURE To RECDRJD RECDA NOTICE OF COMMkINCEMENT MAY RESULT IN YOUR PAYIN C
TWICE FOR IMP ROVENDUS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDIE13 ANO
POSTED ON THE JOB SITE 13EFORE THE FMRST INSPECTION. IF YOU INTEND TO O TAIN FiNANCINC, CONSULT
WITH FOUR LENDER OR AN ATI`DRNET REFDRE RECOI; WNG YOUR 111[ ICE Of COMMENCEMENT-
F-'°
Srg n a tore of bwn er LLesse
cto r as Agent for Own e r
STATE OF FLORIDA -'
COUNTYOF.
The f ing instr Bret was kr3ow ledg fora me
this day of , zo
Nate e s +n@kind-sate rnent_
Per na l ly Known OR Produced Identification
Type of tdentificat.ion
Prod u cedl
fSig t6re 6f N ary Public- State of flo-riida
Commission No. �' � [ 7aS\ if (Seat}
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVfE +
b7 -
TC -RECEIVED
[SATE
CCl'MPLET
k,l�na r �� �li� stab :fir r Io-
Catherine f) s� na � a heir
ommi
E�plf r'':P 0 2
Signature- CA Contra c:tor/Li tense Holder
STATE OF FLORIDA
COUNTY OF S+ (�k,
Theif9xi4oing inArunnt W?3S owl dg fore me
th[4 day fby
r
e c)t Pefson Jna king statement.
Personally ,Know OR Produced Identificatio n
Type of ild a ntGf catron
Produced
(Sign a to r e .of N otary Public- State of Eiori da
(Seat)
Commission NQ_ � �
PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW
hiora'y PUDIM &aw
�: t Fl�fr
Ct.r[I'enra�e �.a�,,y�i,� i4�al�ars
FrrC Sour iiG 1�f31
MANGROVE
REVIEW