HomeMy WebLinkAbout10130 wild quail permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b -Z� �� Permit Number:
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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) 462-1578 Commercial X Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 10130 WILD QUAIL WAY
Property Tax ID #: 3322-621-0005-000-0 Lot No.
Site Plan Name: Block No.
Project Name: WILLOW PINES CLUB HOUSE
DETAILED DESCRIPTION OF WORK:
REPLACE EXISITING HVAC EQUIPMENT WITH NEW
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
XMechanical _ 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: $ 5000.00 Utilities: —Sewer —Septic Building Height:
OWNERAE5SEE:
CONTRACTOR:
Name WILLOW PINES WEST HOA INC. /CO LANG MGMT
Name:BARRY ZIMMERMAN
Address:8311 HOLLY TREE TRAIL
Company:COMFORT CONTROL OF SLC
City.. PORT ST LUCIE State: _
Zip Code: 34986 Fax:
Phone No. 772-498-9501
Address:1501 SW BILTMORE STREET
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone No772-785-9010
E-Mail:SHERYLD@LANGMANAGEMENT.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail COMFORTCONTROL34983@GMAIL.COM
State or County LicenseCACO24379
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
I City: State:
Zip: Phone
( Zip: Phone:
I 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 Horne 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 LENDE ?EN TTORNEY BEFORE RECORDING Y0J4R NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa re of Contr or/ ens e Holder
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STATE OF FLORIDA �,�..
STA ORI A
COUNTY OF _ { . L ue I eP
COUNTY OF l-(Lco e
The forgoing instrument was acknowledged before me
this day of . L �'O�Oa.(' ZO jg by
1_:hQCr11Name
The forgoing instrument was acknowledged before me
i this I" day of fC-�b� 20 by
R nG G o i�` l V I'e j' 1
of of person making statement.
Name of person making sta ent.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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PublIC State of FloridaSheryl Uotfd �S �It
Cn N *Ay6ernmisatonGGlp"�9121
�ertti xPite3 05/24/2021
ignature of N rNotary
opAv °ei*G Notary Publiq Statf of Florida
Commission No. " .racey Ma
c A My commission FF 971067
V ' d* Expires 04/26/2020
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