HomeMy WebLinkAboutBuilding Permit Application 1
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED I
Date: 4/16/2019 Permit Number: VJ4 �4//6w
RECEIVED
COUNTY
{ APR 1 0
F, O R '4 O A 2019
monsimmismomp Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
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 FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9628 Enclave Circle, Port St Lucie, FL 34986
Legal Description: Enclave at the Reserve
Property Tax ID#: 3322-800-0011-000/4 Lot No.
Site Plan Name: Block No.
Project Name:
' Setbacks Front Back: Right Side: Left Side:
,DETAILED'DESCRIPTION.OF WORK::
Change out like for like 3 ton 2 speed , 16 SEER, 5KW heat, Carrier condenser 24ACB736A003, air
handler FV4CNF003L00
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all;ha]Shutters
apply:
EIHVAC _Gas Tank Gas Piping Q Windows/Doors i
n
0Electric 0 Plumbing Sprinklers 0 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S . of First Floor:
Cost of Construction:$ $6745.00 Utilities:Sewer 0 Septic Building Height:
-0W ' . CONTRACT . - ?. _ .
'' pIJRRr7 iRrivr;z �?, a 1,,�5
r,
Nam ,'FM ��,~ � 'i, e€x�N ;fir°+�: Name: Keith Th meso �� ,
k' ; /� a _a;:olP o atria ^:1019 y.sfPV, .,
..Addre s•�2 eeJir�aa3 Company: AC eithd a 31* noitainrmfl0 •�'�"`;
City: of YSkt'I-uciearigm3 mum,'off 1j - — o;u ,t SRA esmva itov9J it,,/ ,o
Cit '"""` State:FL Address:
Zip Code: 34986 Fax:n/a City: Port St Lucie State:FL
Phone No.772-828-0034 Zip Code: 34953 Fax: n/a
E-Mail:n/a Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@att.net
from the Owner listed above) ; State or County License: CACI813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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
I Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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
comme cin: work or rec. -: our Notice of Commencement.
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Signature of Owner/Lessee/C: tractor as Agent for Owner Signature of Contractor/Lice se How!
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF Sif Lc tfi t e COUNTY OF or j-Gfeit e
The for oing instrument w s acknowledged before me The forgoing instrument was acknowledged before me
this(' It day of ATr(i ,20 1 by this 11`y-day of / rc( ,20 icl by
Y Win C —1 11 o ropson �i-Qi( C Ill o m pS
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identpcatiodio, Type of Identification
Produced rl L Produced Pi., _ _
______ diAcA....„6.......N
- 40,Aztp- 6/ i ; afatt/y1
(Sigf'{ eD io..s f-Elnsidyl (Signature of N. •
Com SPC' , SAVITRI QARCIA,. (S,eal Commission No. `01 �, SAM"Yih
g. ats:of Florida _ �� RuDHC f of Ffoilda s.3 P. )- Commission##FF 966265 ,� CommissJOi1 !FF 966265
-'' o.`.Vit,.`• My Colton.-Expires Apr 1.2020 'y'., a, •�. My Coilli*-Expfn tApr 1;2020, �
•REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
'Rev.8/2/17