HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 13506 NW COCO PLUM CT PALM CITY FL, 34990
Property Tax ID #: 4436-601-0026-000-4
Site Plan Name:
Project Name:
Lot No. 26
Block No.
AC CHANGE OUT LIKE FOR LIKE 1.5 TON 16 SEER AMANA WITH 5KW HEAT SYSTEM #2 ATTIC LOCATION
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5400
Name RON MARSILIA
Address:13506 NW COCO PLUM CT
_Sprinklers _Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No.703-624-2313
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DAVID SMITH
Company:ONE CALL AIR CONDITIONING
Address:968 SW PROVINCETOWN LN
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No772-201-3885
E-Ma it ONECALLCOOLING@GMAT L.COM
State or County License CAC1817403
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: _ Not Applica JRTGAGE 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 perinitwili authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict
structure. Please
or prohibit such
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 .INiEND O OBTAIN FINANCING, CONSULT
WITH YOUR LE R AN ATT RNEY BEFORE RECORDING YOUR NOTIC MENCEM "
QW tune of Owner/ Lessee/Cbntractor as Agent for Owner 'nature of contractor/License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �. p C 7 LQ Cti
COUNTY OF Q
The forgoing instrument was acknowledged before me The f oing instrument was acknowledged before me
thisrdayof fi�`� 20�by
this day of_ Ka)by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification
Produced Type of Identification
- Produced (
(Signature of of Notary Pu •-State of Florida) (Signature of Notary Pub -
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