HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1128120 ==
Planning and Development Services
Building and Code Regulation Division
Virg in 1*0 A ven ue, Fort Pierce FL 34982
Phoney 4 -1 Fax: (772) 462-1578
Permit Number0
.
Building Permit Application
Commercial X Residential
PERMITTYPE. HVAC MECHANICAL A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
,,. A_..__. 8517 S US Highway 1 Port Saint Lucie FL 34952
W[aur tfaa.
3426-765-0020-000.3 dot No.
Property Tax lD #:0,
Site Plan Name: pSL PRO FESSiCNAL GENT RE COM1lbOMIiJIUM (OR 1642-2410) L1NI7 8517 (OR 1945-1559' 360E-2931} Block Na.
.......
A/CProject Name: Change out install 2.5 TAN 14 SEER 5 KW HEATER LAKE FAR LIKE
DETAILED DESCRIPTION OF WORK...
HUAC MECHANICAL A/C Change Out INSTALL 2.5 TON 14 SEER 5 KW HEATER Rooftop Package Unit LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
,X Mechanical GasTank � Gas Piping � Shutters
Electric
Plui n
Total Sq. Ft of Construction:
Cost of Constructive: $ 4}700-00
OWNER/LESSEE:
Sprinklers
Generator
Windows/Doors
Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer � Septic Building Height:
Name P and P Leasing LLC
Address:8517 S US highway 1
City:
Port Saint Lucre State:
Zip Cody: 34952 Fax:
Rhone No. 772-336-3331
E_Mail: 1nfo@wi14iamgpembrokecpa.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
CONTRACTOR:
Name: Kelly Certosimo
Company:Air Temp Air Conditioning
Address: 13$4 NW Commerce Centre Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No772-340-0740
E-Mail airtempac a�yahov.com
State yr County Lice nSeGAC1814837
I - i$2500t m rx ent is required.
if value of construction i r more., a �
CORDED Notice of Commencement is regained.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: P, Name:
Address: Address:
City: City:
Zip: Phone:
Zip: Phone:I J_ I I _L, J F 4- .4
OWNER/ COApplication is hereby made to omain a pe rml-i -to au thevvurK cl i I I I ]:� LCI1 Ia LIV9 1 Ct� t h EM,��
I
certify that no wc)rkor installation has commenced prior to the 'issuance of a permit.
i F granting � �rr�i�c ��� authorize the brit holder to build the subject structure
t� Lucie Count � a n� representation that � permit �t� that � restrict �r prohibit �
t any applicable a Home Owners Association rules* bylaws or and ovens - � �
which i� �r� �� ���t r� �p F - reviewyour deed for nrestrictions which �-na apply.
I.
tore. Please consult with your Home Owners Association and
grantingIn consideration of the
erit I do hereby agree that I will , in all respects, perform the work
F tFlorida Buildingn t. Lucie u nth rrrrt.
�n accordance with ��� approved plans,
The fallowing wilding permit applications are exempt from undergoing a foil concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
""WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PALING
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 DR AN ATTORNEY 6EFaRE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/lesseeJContractor as Agent for owner
STATE OF FLORIDA,
COUNTY OF. \
The fl. ing instr
this- day of��
a '"ivr s
Personally Known
Type of Identification
Pi -ad u ce
t
(Signature of Nota
Commission No.
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REVIEWS
DATE
RECEIVED
DATE
COMPLETED
eV.
r'�
nt as acknowledged pefore me
J 20ZA
to mentt
OR Produced Identification
FRONT
COUNTER
My Commission TG 17 681
. _ _ � -.L (Sea I -A.
ZONING
REVIEW
SUPERVISOR
REVIEW
T Flo 0Z
'a1 Donna
,5kol
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Signature of Contra
or/License Holder
STATE OF FLORIDA
COUNTY OF
The f g 'ng inst . t was acknowled ed before me
t h i day o � 20by
do
Nar6 of person m king statement.
Personally Known . OR Prod
Type of Identification �
Produced
r
ignature of Notary
d identification
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4P 'c'"ry Pl�i)llc 6ia:e of Honda
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;e I4;i Jj-Wia Mahan
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o mission o. (Seal)
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PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVi EIN
Notary Public State of Florida
�-_,atherine Donna Mahan
My Commission 176M
Expires 011184022