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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 815/19 Permit Number: y e Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fork Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 510 Woodcrest Dr. Fort Pierce, FL 34945 Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: I DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. HVAC Equipment change -out. Existing: Rheem 4 ton straight cool REAB-1610BLS/2A7A1048A1000AA I 0 i-W New: Ameristar 14 SEER straight cool M4AH4P48B1C00A/M4AC4048D1000A 10 k-W CONSTRUCTION INFORMATION: Additional work to be pertormed under this permit — check a apply: HVAC Gas Tank Gas Piping Shutters Windows/Doors ❑ Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ `A, 0 D . a � S Ft.{ of First Floor: _ Utilities: nSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Jim Batalini Name: Jared Ta9bl Address: 510 Woodcrest Dr. Company: Top Standard Incorporated City: Fort Pierce State: FL Zip Code: 34953 Fax: Phone No. 772-519-0444 Address: 697 SW Dairy Rd City: Port Saint Lucie State: FL Zip Code: 34953 Fax: phone No 833-872-2776 E--Mail: Batalini@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: Topstandardac@gmail.com State or County License: CAC1818900 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCT! N LIEN LAW INFORMATION: DESIGNER/ENGINEER: Y Not Applicable MORTGAGE COMPANY: Not Applicable Name: Jim Batalini Name: JaredTaibl Address: 51O Woodcresr Dr. Fort Pierce, FL 34945 Address: 510woodrmst ur. City. Fort Pier State: City: Pori Saint Lucie State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Add ress: 697 SW Dairy Rd 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 commencing work or recording our Notice of Commencement. Signat e of Owner/ ssee/Contractor as Agent for Owner Signatu of Contra c7license Holder STATE OF FLORIDA COUNTY OF �� . �rxxe STATE OF FLORID COUNTY OF_, Lome_ The for oing instrume was acknowledged before me this day of C� u 20LZ by The forgoing instrume t was acknowledged before me this —A!5: day of ,, 20�2 by Name of person making statement Personally Known OR Produced Identification Name of person making statement Personally Known OR Produced Identification ✓ Type of Identification Produced Type of Identification Produced DL_ (signature of Notary Public4te qf fl'prida )FERNANDO eETANCouAT Notary Public - State of Florid No. %, S of mmission GG;s ©ao =( p p h"y Carnrn. Expires Mar 1 i, 202 Bonded through National Notary As ignature of Notary Public- StateFi ��vAvoo aETANco _h Notary Pubhc - State cf F jf >, Commissiona GG 19A mmission No. ( ! F� lea ycorlm.ExpiresMari n. Bonded through (rational Kota: R or 4Commission z REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 a 2 ;n.