HomeMy WebLinkAboutChannon completedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/07/2018 Permit Number:
a
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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7845 Sabal Lake Drive, Port Saint Lucie, FL 34986
Legal Description: SABAL CREEK -PHASE I- LOT 46 (1.91 AC) (OR 561-1421: 1010-1123: 1045-2457: 1153-73: 1481-1352)
Property Tax ID #: 3321-501-0046-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Change out 2.5 ton residential heat pump system like for like with a York system
YHE30b21S
5 kw heater
✓❑HVAC ❑ Gas Tank
❑Electric OPlumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4775
Lot No.11
Block No. 10
Piping
❑_Shutters
❑Windows/Doors
riders
❑
Generator
❑
Roof
=
Roof pitch
Sq. Ft. of First Floor: _
Utilities: [] Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:.
Name Chris Channon
Name: David Kruse
Address:7845 Sabal Lake Drive
Company: AC Doctors Inc
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 1853 Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-344-3944
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: acdoctorsinc@gmail.com
State or County License: CAC058461
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Chris Channon
MORTGAGE COMPANY: _ Not Applicable
Name: David Kruse
Address: 7845 Sabel Lake onve, Pon Saint Lucie, FL 34986
Address: 7845 Sabel Lake Drive
City: Port Saint Lucia State:_
Zip: Phone
City: PortSaint Lucie State:_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 1853 Biltmore Street
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 propert . A Notice of Commencement must be recorded and poste n the jobsite
before the first ihspgctio y intend t obtain financing, consult with lender or �y before
commencing work r cordi ce of Commencement.
Sign ; er essee/Contractor as Agent for Owner
Signatu ractor/License Holder
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17