HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
- - )Date,-546M"g Z5 Permit Number:
&
Building Permit Application MAY 17 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ROsikvIddlide County, FL
PERMIT TYPE:MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 14782 AGUILA AVE
Property Tax ID#: 1306-1111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name: WYNNE BUILDING CORPORATION/JOEL WYNNE
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT OF A 3 TON YORK UNIT WITH A 10 KW 15.25 SEER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
X Mechanical —Gas Tank Gas Piping Shutters Windows/Doors
—Electric —Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,500 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name WYNNE BUILDING CORPORATION/JOEL WYNNE Name:GRETA B.SMITH
Address:8000 SOUTH US 1 SUITE 402 Company:ALL YEAR COOLING&HEATING
City: PORT SAINT LUCIE State: FL Address:1345 NE 4TH AVE
Zip Code: 34952 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,VGARCIDUENAS@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.
If value of HVAC is$7,500 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
If 4wt— U 6-
Sign atur f Own erO Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-SAINT LUCIE CO U NTY OF BROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1e day of MAY ,201,9 by this 16 day of MAY 20 19 by
JOEL WYNNE GRETA B.SMITH
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification X Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced DRIVER'S LICENSE Produced
(Signature of Notary P L-ic;,�%fVfeF orl�a (Si nature of Nota Public-State Florida
o ary I]D Ic State of Florida g ryRobert James Buckleyr PCommission No. GG oao M Co a9 n GG 040158 GGoaolsa0`°" �BNota qyp�State of Florida
Y s Commission No. RobTI��MeS Buckley
M10' Expires 10/19/2020
My Commission GG 040158
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.