HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION. LIEN LAW'INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State: 4-M
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 AFF1DVIT: 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.
t. Lucie Countymakes o rep re tati n that igranting permitwill authorize ther It holder to build the subject structure
which is In core i t with an applicable Lorne Owners Association ru lei# bylaws r an covenants that may restrictor prohibit stich
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
m urre 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 FAR IMPROVEMENTS TO YOUR PRgPERT1f. A NOTICE OF COMMENCEMENT MUST BE RECORDED Al1[E3
POSTED ON T"E JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER -OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF COMMEIIECEMEIIT="
Signature of Owner/ tesseeJCantractor as Agent for Owner
OF
Signature of Contractor/License Holder
STATE OF FLORIDA / - STATE OF FLORIDA �
COUNTY OF COUNTY OF
The fo going instrument was acknowledged before me
this day of JA 2d
b
left
'Name
of pe4n making statement.
Personally Known V, OR Produced Identification
Type of Identification
Produced
'T -
{Sig`r�ature orNotary Pub1ic- State of Florida ]
Commission No. (Seal)
The forgoing instrument was acknowledged before me
this day of 20 by
Nam6 of person making statement.
Personally Known rV OR Produced identification
Type of Identification
Produced—. A
LKA
(S ign�atu re of Notary.}Pu bI ic- State of Flo rids
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR (
PLANS
I VEGETATION
SEATURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
e-v. 21-7119
N cla i , p uotic State of FlondS
*emit: Donna Mahan
GG 176851
MANGROVE
REVIEW
Solt P, Notary P u b1 is State of Florida
Catherine Donna Mahan
y Commission GG W6881
f
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
date: 7/8/2019
Planning and Development Services
Bui'ldt'ng and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: ) 4 -1 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial
Residential X
PERMITTYPE:HVAC Mechanical AC Change out, LIKE FOR LIKE
I t 1i$Ili��g7l�i1a Ze]�Lxu1a►�1Colo\i[111 ►F
Address: 9660 Landings Drive, Port Saint Lucie, FL 34986
0 V 0 E % A F M 0 %1 0 %Ow
Property Tax ID #: 3322-500-0035-000-7 Lot No. 13
Site Plan Name: FAIRWAY LANDINGS PARCEL 10 LOT 13 (OR 955-2935). Block No.
Project Name: HVAC Residential Mechanical AC Change out, LIKE FOR LIKE
DETAILED DESCRIPTION OF.WORK:
AC Change out, Install RHEEM 5 TON, 15 SEER, 5 KW HEATER, Heat Pump Split System LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additionsl work to
be performed under this
perm -it
— check all that
apply:
Mechanical
� Gas Tank
� Gas
Piping
� Shutters Windows/Doors
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: s6,300.00
____ Sprinklers
Generator
Sq. Ft. of First Floor:
Utilities: Sewer �Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Erdman Burton Jr
Name: Kelly Certosimo
Address: 9660 Landings Drive..
Company:. Air Temp Air Conditioning, Inc.
City: Pork Saint Lucie State: FL
Address:s51 NV1! Enterprise D�ive Suite #107
Zip Cade: 34986 Fax:
City: Porgy Saint Lucie State: FL
Phone No. 772-285-8551
Zip Code; 34986 fax: 772-281-2907
E.Mail.erdieb@com"cast.net
Phone No 772-340-0740
Fill in fee simple Title Holder on next page if different
E-Mail atrtemPac@yahoo.cvm
from the Owner listed above}
State or County license CAC1814837
If valuie
of construction i
r
more, a RECORDED Notice of Commencement is required.
If value
of HVAC is'$7,500
or more,
a RECORDED Notice of Commencement is required.
r-