HomeMy WebLinkAboutBuilding permit application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR"APPLICATION TO BE ACCEPTED
Date: 3/16/2020Permit Number:
Building Permit Application
Planning and Development Services e,49 p�q
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanicat-
PROPOSED IMPROVEMENT LOCATION:
Address: 9200 One.Putt Place Club House
II.
Legal Description: Island Club House
Property Tax ID#: 3334-501-0005-000/8 Lot No.
Site Plan Name: Block No. �I
Project Name:
Setbacks Front Back: Right Side: Left Side:
- I
DETAILED DESCRIPTION OF WORK:
Change out like for like replacing Lennox 2 speed, 3 ton ac unit with carrier 2 speed 3 ton AC,
condenser 24ACB736A003, and air handier FV4CNF003L00, 16 SEER, 5 kw heat.
CONSTRUCTION`INFORMATION: -
itiona-wor to e e orme un ert is permit—checka a,pp^y,:,
I VAC{' E Gas Tank: ❑Gas Piping Shutters, a Windows/Doors."
Electric 0 Plumbing Sprinklers, Generator Roof Roof pitch
Total Sq: Ft of Construction: Sq. Ft";,of First Floor:
r ,ICost of Construction:$ $5600.00 Utilities:nseWertSeptic Building Height:
OWNER%LESSEE: ; CO TRACTO�
Name PGA V)iIlage POA Inc. . Nami: Keith Thojnpson j
2140 Reserve Park Trace Company: �C"i<eith Inc.
Address:'-
City: -P&f 9t Lucie State:FL Address:
Zip Code: 34986 Fax:n/a. City: Port St Lucie State:FL ,i,
Phone No.561-866-8110 Zip Code:.34953". Fax: n/a
E-Mail:dianeb@langmanagement.com Phone No. 772-519-1351 1,
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.
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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: 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.
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 thesubject 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com nci,ng work orpecording your Notice of Commencement.
Signature of Owner/Le actor as Agent for Owner Signature of Cont ctor ense Holder
STATE OF FLORIDA ` STATE OF FLORI A
COUNTY OF ST e_1 COUNTY OF
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this�day of ! C44 20,�/-•°', .wr this�day of /Y)��-11 20.x?by
Name of person making statement T =
Name of person making statement p g
Personally Known OR Produced Ide ifr£atio Personally Known OR Produced Identificat' n=
Type of Identi ' ati g o a o Type of Identification
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($` nature f Notary Public-State of Flori a T; ig ure of Notfy Public-State of
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Commission NJ�'b 11:�;Pi � (Se ) s 'a r Commission N 1 J � �I (Seal) T
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17