HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1412017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-7578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED
IMPROVEMENT
LOCATION:
Address: 9405 Meadowood Drive
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT ONE- LOT 180
Property Tax ID #: 1327-801-0069-000-7 Lot No.180
Site Plan Name: Lauri Selib Block No.
Project Name: 9405 Meadowood Drive
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION
OF WORK:
HVAC EQUIPMENT CHANGE OUT; MAKE- CARRIER; A/H: FV4CNF005L00; C/U:
24ABC648A003; 10KW; 16 SEER; 4 TON
CONSTRUCTION INFORMATION:
Aciartional work to eperformedd un ert is permit-c e a apply:
❑✓ HVAC Gas Tank ❑Gas Piping_ Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ $7222.00 UtilitiesliSewer Septic Building Height:
OWNER/LESSEE ':
CONTRACTOR:
Name Laurie Selib
Name: DONALD O'BRYON
Address: 9405 Meadowood Drice
Company: Preferred Air Conditioning & Mechanical, Inc.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No, 508-254-9841
Address: 1643 DONNA ROAD
City: WEST PALM BEACH State: FL
Zip Code: 33409 Fax: 5614780089
Phone No. 5616891093
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: TRICIA@PREFEPREDACMECH.COM
State or County License: CAC1817665
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
X Not
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address -
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name
City:_
_
Address:
Zip: _
Phone:
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 1 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 lendgtor an attorney before
Laurie Selib
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF auma�cH
The forgoing instrument was nowle ore me The forgoing
� this day of /, 20 by this 3i day
of person
Personally Knoww�,� OR Produced Identification X Personal) ow X
Type of Identification Produced oR�va+�s ucervse Type of Identification Prc
Commission No. FFzi pc;-�T:'- (i,4RAD®� Commission No. �z11�7
I MYCOMMWION # GG 313394
Revised
ackn^owle'dged before me
Ufa — by
of Florida )
OR Produced Identification
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS