Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFO MUST BE;COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 8/.13119 Permit Number: • t�i11iA Building Permit Application P..Ignning and Development Services Building and Code.Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982' Phone:(772}-462-1553 Fax: (772)462-1578 C0171n1ECCtaI Residential Yes PERMIT APPLICATION FOR: Mechanical PR4PQSED IMPROVEi�IEIZIT I.QCATION , Nr Address:: 11600 Appaloosa Ct. Port Saint Lucie, FL 34987 Legal Description: Property Tax ID#33 3 9 ('0 U S_ V d{ '© V Lot No. Site Plan Name: Block No. P.r:.oject Name: Setbacks Front Back: Right Side: Left Side: °DETAILED DES�RIPTtON aF Uli'�RICr<� i HVAC Equipment change-out. Existing: American Standard 2.5 ton straight cool TWE030C14OFl/38CK030300 5kW New: Ameristar 2.5 ton 14 SEER straight cool M4AH4P32I31 1300A/M4AC4030D1000A 5kW �ONSTRIJCTIC?N tNFORM%ATION zx `Rd o Additional work to be performed under tispermit—c .ec appy: 9HVAC Gas Tank oGas Piping Shutters Windows/Doors a Electric 0 Plumbing Sprinklers OGenerator ❑Roof Roof pitch Total Sq.Ft of Construction: Sq. Ft.of First Floor: :Cost of Construction:$ 4;500 Utilities: USewer F]Septic Building Height: Name Andrea Anicito Name: JaredTabl Address:11600 Appaloosa Ct Company: Top Standard Incorporated City: Port Saint Lucie State:FI Address: 697 SWDairy Rd Zip Code: 34987 Fax: City: Port Saint Lucie State:FI Phone No.772-807-9699 Zip Code: 34953 Fax: E-Mail:andrea@myfloridalban.comPhone No. 833-872-2776 Fill in fee simple Title Holder on next page(if different E-Mail: Topstandardac@gmail'.com from the OWner listed above} State or County License: CACI 818900 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. UPPLEiVIENTAL�C4iVSTRUCTI LIEN LAW'INEORMATJUt Y .DN ERjENGINEER: ESIGNot:Applicable MORTGAGE COMPANY: Not Applicable' Name-.P-dreaAninlo Name:Jaredraiui A0:ress: „r>ooAppaioosact City: Pon U,-LudeState: City: Pon Saint Lucie State Zip: .Phone Zip: Phone: FEESIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Nat Applicable Name:. Name: Address:687 SW Dairy Rd Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is herebymade 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 applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and'reviewyour deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,inallrespects,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. s:Ign7fe of Ownee/Contractor as Agent for Owner Signatur " f Contracto icense'Holder STATE.OF FLO IDA STATE OF FL DA COUNTY OF a ky-o )c,\e COUNTY OF C1\rYt The f r Ding instru{�ent was acknowledged before me The fp Qoing instru ent was acknowled a efore me this day of 5��(" 20`9 by this (�day of 20by are, ib1 'T' Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known. OR Produced IdentificatioriK__ Type of Iden'Acation Type of Identification Produced t`�L Produced T} (signature of Not Public- (Signature of Notary ublic-St ;iia+Poo MICHELLE GREEN "'o MICHELLE GREEN a ublic•State of Flaridi s Commission NO < Public State.of Florid t�5fthhission#GG 285318 Commission N y ( mission if GG 286318 My Comm.Expires Dec 20,2022 o°: Bonded through National Notary Assn. ,� ed Comm.Expires: No ar As 2 Banded through National Notary Ass . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17