HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/2019 Permit Number: 19 ru -0,Ebig
RECEIVED
Building Permit Application APR 2 3 2019
Planning and Development Services
ST. Lucie County, Permitting
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: 9108 Pumpkin Ridge Road, Port St Lucie, FL
Legal Description: PGA-Maidstone
Property Tax ID#:'3322-505-0012-000-5 Lot No.3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
FDETAILED DESCRIPTION OF WORK: `
Change out like for like 4 ton , 16 SEER, 8KW heat, Carrier condenser 24APB648A003, air handier
F134CNP048L00
CONSTRUCTION INFORMATION:
Additional work to be performed under t is'permit—check all appy:
HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ $5200.00 UtilitieslnSewer Septic Building Height:
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34986 nla o FL
LIP Zip Code: Fax: City: State:
Phone No.603-490-8443 Zip Code: 34953 Fax: n/a
E-Mail:maspooner@comcast.net Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@aft.net
from the Owner listed above) State or County License: CAC1813976
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
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 thepermit 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
commencinR work or recording our Notice of Commencement.
ignature of Owner/L ssee tractor as Agent for Owner Signature of Contractor/Lic se Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-T L-,-.j COUNTY OF ':Z,- T L U Gt ,-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisr?2-day of 20_10 by this 21_ day of INP 20_ft by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification V
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-
•' `"PA-V P ,I
�'s` oe% THEODORE,SARANTO
Commission No fo ,;� ( SORE SAHANTQS` . ommission No.641 �('P ��
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=:�• 4= Nofary i�ubLc G U4773 'sN i? Eomnr)sfoa GG 64
6ommission+�G 202' '• o�F� �
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REVIEWS FRO_ S R PLANS VEGETATION SEA TURTLE MANGROVE
COUN EIT REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17