HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09//2019 Permit Number:
s RECEIVED
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Building Permit Applicati n SEP 19 2019
Planning and Development Services ST. Lucie County, Permitting
1 Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE: MECHANICAL
ARf3POSE�„� IpRO1/
_Wt NTL,O'CATI�N
Address: 1488 WILD OLIVE COURT PALM CITY FL 34990
Property Tax ID#: 44-26-815-0019-000-8 Lot No.
Site Plan Name: HARBOUR RIDGE-PLAT 13-BUTTONBUSH VILLAGE UNIT 12 Block No.
Project Name: D. POWELL
[b" ETAILEU DESCRIPTION OFiWORK �� �� �' �� 7M
LENNOX 2 TON 16 SEER EXACT A/C CHANGE OUT NO DUCT WORK
5KW
xCONSTRUCTIC}N INFORMATION
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:$ 6450 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE 4 R = COIVTRACT�OR a
Name DOUGLAS POWELL Name: CRAIG CANTRELL
Address: 8215 CINNAMON LANE Company: AMTEK AIR CONDITIONING, INC.
City: PALM CITY State:_ Address: 571 NW MERCANTILE PLACE#12
Zip Code: 34990 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
Y
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.
SUPPl.EM�NTA(.CONSTRUCTION #� �N LAW INFORMATION.
, M.
,.DESIGNER/E
NGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
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 VEYORE RECORDING YOUR NOTICE OF COMMENCEMENT."
l
Signatur caner/Lessee/Contractor as Agen Owner Signature of Co ctor/License Holder
STATE OF FLORIDA STATE F FLORIDA
COUNTY OFSTLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of SEPTEMBER 20_A by this 10 day of SEPTEMBER ,20� by
C�, L/A-f)-WL[ I
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
• P7 '
U-IM
(Signature of Notary Public-State of Florida) (Signature of Notary
y�Pub lic-State of Florida)
Commission No. G ``�,�YP4,0�ea SHARON MI Lc ,mi ion No. `,��PU,,� ARON MILL R
;_� ,, State of Florida-Not ry Public �o"� ec'-
State of Florida-Notary- lic
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NINE
RECEIVED Y Commission Expires ��� `,ec My Commission Exp r
REVIEWS FRONT 2 VEGETATION �a�� 12`_LE MOrNGRQVE2
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
km2/7/19