HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ADate: �12/1t/2019. Permit Number: 2,- 30
-,W7 _
DECEIVED
Bluildin Permit A lication -
N� DEC 1 .2'0 19
Planning and Development Services
Building and Code Regulation Division ST. Lucie Cou'nty,.Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578.. . Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
r, PROPOSED IfUIPROVEIVIEIVTL'OCATIOf4 fui _ k
r
Address: 215 Sea Conch Place,Tropical Isles Ft,Pierce, FL34982
Legal Description: P
Property Tax ID#: 34107-508-0327-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
'Setbacks Front Back: - Right Sider ->LeftSide:
DETI )LEDtOES`CRIPTION OF WORK
Change out like for`like 4 ton package unit, 14 SEER_I OKW heat, Cartier package unit 50ZPCO48
CO.NSTRl1CTIQNINFORMTION r k 772
Additional work W e e Orme under tispermit—c ec a appy:
HVAC - []Gas,Tank - []Gas Piping. _Shutters. Q Windows/Doors
Electric Plumbing Sprinklers Generator_ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ $5000.00 Utilities:0 Sewer E]Septic Building Height:
t f
Name Lynn Franklin/Tropical Isles Coop Name: Keith Thompson
Address:215 Sea Conch Place Company: AC Keith Inc.
City: Ft Pierce State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34982 Fax:n/a City: Port St Lucie State:FL'
Phone No.772-293-1964 Zip Code:,34953 Fax: Na
E-Mail:m0mmom3695@gmail.com Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl.@aft.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SSUPPLEMENTAI CONSTRUCTION LIEN LAW INFORMATIfJN x $'
DESIGNER/ENGINEER: w _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.
(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 tiie-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 Fiorida 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 lender or an attorney before
corNpricing work or re-cording.your Notice-of Comm.enceme_0 t.
ignature of Own' r/Le be/Contractor as Agent for Owner ignature of Contractor/Lice Holder• ^�
STATE OF F1 RI A STATE OF FLORIDA
COUNTY OF- -,A ; ,,t 4 COUNTY OF 'EA A
The forgoing insXrument was acknowledged before me Theforgoing instrpment was acknowledged before me
this _day of C ,r.-ln It -201'5- by..-- -,, this l day of_Qe c?.,-- 20 1,9 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification' Personally Known., OR Produced Identification
Type of identification 1 Type of identification
Produced�'1 2IP ICAJ dS L c �� Produced +'lOfGv>v` if iJ e l5.�
o_Q 4
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(Signature of Not (Signature of Notary P
` "OkY"Ge��.,, BELINDA W.SUTCLIFFE 11 M-41
AUe'��,,..` BELiNDA W.SUTCLIFFE
Commission No. =r* «°= Notary Pi}I+ealJ;tate`ot Florida Commission'No. �.' tr Notall State at Flaiida
*Q c Commission#FF 666234 * Commission # FF a6Fi234
rp yoP`'� My Comm.`Expires Apr,17,2020 '.9F �o,. My Comm'.Expires Apr 17,2020
REVIEWS FRONT- _-ZONING SUPERVISOR PLANS VEGETATION m 'SEA TURTLE MANGROVE
CO0NTER REVIEW 'REVIEW REVIEW. REVIEW REVIEW REVIEW -
DATE--
RECEIVED :.
DATE
COMPLETED
Rev.8/2/17