HomeMy WebLinkAboutScanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 -1- -i o
AOWN
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 929 JACKSON WAY
Property Tax ID 4: 1423-802-0032-000-7
Site Plan Name:
Project Name: Northcott Resodence
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential xxxx
Like Like A/C System Replacement- Vertical/16 Seer/ 7.5 kw/Straight Cool/2.5 Ton Lennox system
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical , Gas Tank , Gas Piping Shutters
Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7054,00
Generator
Sq. Ft. of First Floor:
Utilities- _ Sewer — Septic
OWNER/LESSEE:
CON
Name Royce Northcott
Name
Address: 9590 Trenton Way
Comp
City: Stockton
State:
Addre
_
Zip Code: 95212 Fax:
City; I
Phone No.772-708-9024
_
Zip Cc
E-Mail:
Phon(
Fill in fee simple Title Holder on next page ( if different
E-Mai
from the Owner listed above)
State
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height;
TRACTOR:
• Don Miranda
any: Miranda Plumbing & Air Conditioning, Inc.
ss:750 NW Enterprise Drive
'ort St Lucie State: FL
de: 34986 Fax:
N o 772-878-5123
Ldiodato@mirandacompanies.com
)r County License CACTI 815486
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.
5UPPLEMENT,4L COl115TRl1CTI0N LlEf11 LAIN ORMATipN;
DESIGNER/ENGINES
Name: R' Not Applicable
Address:
City:
Zip: Phone State:
FEE SIMPLE TITLE HOLDER:
Name: Not Applicable
Address:
City;`
Zip: Phone:
MORTGAGE COMPANY: Not Applicaile
Name;
Address
City;
Zip: ____-- Phone:
State:
BONDING COMPANY:
Name: Not Applicable
Address:
City-
Zip:
CONTRACTOR AFFIUVIT: Application is hereby madel�to^�` phone:
I certify that no work or installation has co a of a a permit to do the work and installation as indicated,
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
or
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may ap I .
1
In consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform sthetwo k Prohibit such
in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments. p y
The following building permit applications are exempt from undergoing a full concurrency review: room additions
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory "WARNING TO OWNER: POUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
y uses to another non-residential use
IN
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE R YOUR
O RDEQ
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, UC® AYING
TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YOUR 11iOTICE OF COMMENCEMENT."
AND
CONSULT
STATE OF FLORIDA
COUNTY OFsTIucIE
r as Agent for Owner I St Kure o€ Contracto
The forgoing instrument was acknowledged before
this 22 day of ANUARY
� , 20_--�D by
Name of person making statement
Personally Known � OR Produced ld
Type of Identification
Produced
QWature of Notary Public -State
Commission No. �_I_ 2 7j
REVIEWS FRONT ZONING
COUNTER REVIEW
= I
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OFsTLUCIE
The forgoing instrument was acknowledged before me
this z2 day of iauARY 20 P C-b
..� y
Name of person making statement.
101FA i"uy. 5, 21
alk ThN Awn N
Personally Known xxx OR Produced Identification
Type of Identification
ProdurPrl
re of Notary Public- State
mission No.
co" c
Nov.
WW TInik
$REVIIEWOR REV EEW VREVIEWON SREVEWLE MRANGRO
EVIEWVE