HomeMy WebLinkAbout15375 Skyline DriveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
7NTY
L a rc i n A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: LLEG77&1
Permit Number:
Building Permit Application
Commercial Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 1S3 S// S//K// YUA%>� 21 ilt'
z.Property Tax ID #: 7�7—svl QQ&�Q—p�6O��� 9
Site Plan Name: VUr 0OOLE C�/r/�-P 1/!
Project Name: wI L�if i ' �'1/AG
DETAILED DESCRIPTION OF WORK:
/NSRYLL 1�
CONSTRUCTION INFORMATION:
x
Lot No.6P
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Constru on:
Cost of Construction: ��� DD a
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
-YJ ,�,�
Name: W ZA19 Z4nim E,K '7fi-,VV
Address:
�,s�^
Company: cflmrpAr cbiUToL S-V/�-C�J'/
City: State: _
Zip Code: Fax:
Phone No.
Address: Sw 6 fZ-7 ta2i!:r:� 0- -
n
City: ��0-S-F 4ac-1E State: �pL
Zip Code: ��%a.3�p 4Fax: 7%?-%�S'
Phone No `77.2 - i0 � /0/U
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail la) , ccS(ap olnaI
State or County License �r✓�������7
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF 57- L-14C1E
The forgoing instrument was acknowledged before me
The forgoi instrument was acknowledged before me
this day of 20_ by
this 3QT&y of A PRaL , 20r}p by
VVh VNE 24m/ 0?M1+AJ
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of NotaryWlic-Statef FloridaCommission
No. (Seal)
Commission No.taryPubii4S®tlpfFlorida
J. Simone
;Lcmla
Commission GG 957803
ww
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETA
E
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7 1
�p 134
v
N
COMFORT CONTROL SERVICES
PHONE:772-785-7075 FAX:772-785-9144
PROJECT:
LOCATION: /537-Sl WIVE DOY;5
FEEDER SIZE: y/Q �C���`►�
PANEL SIZE: d.CxO
MAIN BREAKER SIZE: -oA-OC:�)
NUMBER OF BREAKERS: &
EXISTING LOADS
WATTS
SQ FEET X 3 WATTS PER SO. FT
�y
APPLIANCE CIR @ 1500 WATTS EACH
LAUNDRY CIR @ 1500 WATTS EACH
RANGE @ 8 KW
DISHWASHER AND DISPOSAL @ 1500 WATTS EACH
MICROWAVE @ 2000 WATTS
WATER HEATER @ 4.5 KW
TANKLESS WATER HEATER
DRYER @ 5 KW
REFRIGERATOR @1500 WATTS EACH
OTHER
OTHER
OTHER
TOTAL:
FIRST 10 KW @ 100%
REMAINDER @ 40%
TOTAL WATTS:
A/C LOAD SHED
Q
DIVIDED BY 240 VOLTS =
PREPAIRED BY: WAYNE ZIMMERMAN DATE: