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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: 09/ 2019 Permit Number: 10 r Building Permit Application bEH 19 2099 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMITTYPE: MECHANICAL PRO.P05ED£IMPRC3VEM"ANT L'QCAA Address: 8215 CINNAMON LANE PORT ST LUCIE FL 34952 Property Tax ID#: 3425 701 0148 000 5 Lot No. 1 Site Plan Name: SAVANNA CLUB-PLAT ONE Block No. 9 Project Name: M. CHASE - DETAI i DESCIt[PTIONhOF INf3RK. R TEMPSTAR 3.5 TON 14.5 SEER EXACT A/C CHANGE OUT NO DUCT WORK 10KW �GONSTRUCTION INFORMATION e Additional work to be performed under this permit–check all that apply: _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:$ 5450 Utilities: —Sewer —Septic Building Height: ©UVNER/LESSEE ' CONTRACTOR Name MARY CHASE Name: CRAIG CANTRELL Address: 8215 CINNAMON LANE Company: AMTEK AIR CONDITIONING, INC. City: PORT ST LUCIE State:_ Address: 571 NW MERCANTILE PLACE#12 Zip Code: 34952 Fax: City: PORT ST LUCIE State: FL Phone No. 772-344-1600 Zip Code: 34986 Fax: 772-773-7070 E-Mail: Phone No 772-237-5254 Fill in fee simple Title Holder on next page(if different E-Mail ADMIN@AMTEKAIR.COM from the Owner listed above) State or County License CAC1816639 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. SUPPI.EM 'i41 CQ "RU tl�{3 .l:JN �W �lUOMATIN. � � 5 •,,, ,,. ,. ....., ,;.x. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: 1 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 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 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." Signature of er/Lessee/Contractor as Agen wner Signature of ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF IM('� . COUNTY OF -. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 10 day&SEPTEMBER 20 i4 by this 10 day&SEPTEMBER 20 1C4 by �_"t Q � �� �� U-44 l e7 C^✓14-r-QA_� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known l—OR Produced Identification Type of Identification Type of Identification Producedc,� Produced j C c (Signature of Notary Public-State of Flori 2a� B��,State of FI r !e&6 ry Public-S RON MILL �-y ^ •= Commis ionrniss ,,,.,u,, SHA tic $ at ssi ida Notary GG d��o�` ! ( a 4'� M CA r�AAgrYA.f�onres r � ��"" �, ( fission#GG 20V 7 Commission No ( 'a1110�. y V �F� My Commission Ex it AP6101,2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION EA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.2/1/19 _.... ... .. _ .. �A� r .:. G iG .� :r., � � - _ 1� �,+'. r