HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/30/2020 Permit Number:
� COUNTY 0 �
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 18490 Glades Cut Off Rd
Building Permit Application
Commercial Residential X
Property Tax I D #: 4210-443-0002-000-2
Site Plan Name: 10 37 39 THAT PART OF N 205.45 FT OF S 465.45 FT U4 OF E 1/4 LYG W OF GLADES CUT OFF RD (5.10AC) (OR 935-1575)
Project Name: Cheryl Phillips
DETAILED DESCRIPTION OF WORK:
AC Change out like for like
Goodman/GS,Z140301k* Goodman/AWUF31XX16A*
2.5 ton 5KW 14.00 SEER
Lot No._
Block No.
i CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
XMechanical Gas Tank _ Gas Piping ` Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers w Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4985,00
Sq- Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cheryl Phillips
Name. Samuel T Durham
Address:18490 Glades Cutoff Rd
Company: Advantage AC of the TC
City: Port St Lucie State: -VA:
Address: 601 S Market Ave
Zip Code: 34987 Fax:
City: Ft Pierce State: FI
Phone No. 772-777-5849
Zip Code: 34982 Fax: 772-465-4945
E-Mail:
Phone No 772-465-1606
Fill in fee simple Title Holder on next page ( if different
E-Mail Advantagepermits@hotmail.com
State or County License CAC039664
from the Owner listed above)
rawc v&WISMU uPuun m ?c3uu Ur more, a Kr .UKUCU imouce OT Lommencement 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
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
z Not Applicable
tate:
Not Applicable
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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
�a5 ��
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF $t Lucie
The forgoing instrument was acknowledged before me
this 30 day of January . 20 20 by
Samuel T Durham
Name of person making statement.
Personally Known x
Type of Identification
(Signature
Commission No. GG269239
OR Produced identification
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
JENNIFER E.
Notary Public, Ste
Commission No.
Commission Expire
STATE OF FLORIDA
COUNTY OF S,Lucle
The forgoing instrument was acknowledged before me
this 30 day of January 20.7-0 by
Samuel T Durham
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
A f tary P lc_
Florida ,�` JENNIFER E.
(PMpjj11551 NO. GG289239 Notary Putllic,StE
fl9l3fl12022 Commission No.
ml..,Commission Expin
SUPERVISOR PLANS I VEGETATION I SIATURTREV EWLE I MRA V ROVE
REVIEW REVIEW REVIEW