HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /a, V
Y 6
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 Residential X
PERMIT TYPE:
PR60"0' SE"D IMI?Advt 1liENT I C?CATIflN
Address: 1584 NW SWEETBAY CIR
Property Tax ID#: 4426-803-0034-000-2 Lot No.
Site Plan Name: Block No.
Project Name: HARBOR RIDGE RON MARSILIA
DETAILED DESCRIPTION flF=1lVORK
AC CHANGE OUT LIKE FOR LIKE 5 TON 16 SEER R410A 10KW HEAT
4 M
CCN�TRIJCTIC}ly'INFORM'
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:$ 5800 Utilities: —Sewer —Septic Building Height:
G111lNERJLESSEE CONTRACTOR
Name RONALD MARSILIA • Name:DAVID SMITH
Address: 1584 NW SWEETBAY CIR Company:ONE CALL AIR CONDITIONING
City: PALM CITY FL State:_ Address:968 SW PROVINCETOWN LANE
Zip Code: 34990 Fax: City: PORT ST LUCIE State:FL
Phone No. 703-624-2313 Zip Code: 34953 Fax:
E-Mail: Phone No 772-201-3885
Fill in fee simple Title Holder on next page(if different E-Mail ONECALLCOOLING@GMAIL.COM
from the Owner listed above) State or County License CAC1817403
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.
Sldl MENTAL CQNSTRIICTIQN LIEN LA tIV iNFQRMATIQN `
DESIGNER/ENGINEER: _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 ORAJY ATTORN Y BEFORE RECORDING YOUR NO ICE OF M EMENT."
r
Sig a of Own r/Lessee/Contractor as Agent for Owner Signat of Confrktor/Licensel4older
STATE OF FLORIDA STATE OF FLORIDA 11
COUNTY OF cQ, COUNTY OF ,l�A W ,0
The f going instru ent was acknowledged before me The for oing instr ent was acknowledge before me
this day of 20h by this day of 'k� by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
bVIA—L, VM w"
( ' a re of Notary Public- ate of Florida) 4* atkire of Notary Publ State of Florida
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.