HomeMy WebLinkAboutbuilding permit application for HanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.. 2/22/2021
Permit Number:
>_
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8171 Mulligan Circle
Legal Description: PGA Castle Pines
Property Tax ID #: 3327-503-0080-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out like for like 3 ton unit, 16 SEER, 1OKW heat, Carrier Condenser CA16NA037, Air Handler
FX4DNF037
CONSTRUCTION INFORMATION:
itiona wor to [eener orme under tis permit —checka apply:
WIHVAC L_I Gas Tank Gas Piping 11 _ Shutters []Windows/Doors
11 Electric 11 Plumbing Sprinklers I Generator 0, Roof C Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $4220.00
S Ft. of First Floor:
UtiIities:DSewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Eunice Han
Name: Keith Thompson
Address: 8171 Mulligan Circle
Company: AC Keith Inc.
City: Port St Lucie State: FL
Zip Cade: 34986 Fax: nla
Phone No. 772-777-1388
Address:
City. Port St Lucie State: FL
Zip Code: 34953 Fax: n/a
Phone No. 772-519-1351
E-Mail:
Fill in fee simple Title Hoider on next page ( if different
from the Owner listed above)
E-Mail: ackeithl@att.net
State or County License: CAC1813976
.a�w� ..� LVfIJ41 u4Uu11 17 ZA4aUU UI 1zIuIre, a nm-unuru Notice oT commencement is requires.
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 SAMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
vvV wrrcI LUw I KAL I UK AII•f IUVI I.' 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 jobsite
before the first inspection.# you intend to obtain financing, consult with lender or an attorney before
commencin workQr_rj!-c0fding your Notice of Commencement
Signature of Owner/ Less a ontractor as Agent for Owner Signature of Contractor/License Ho e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF T'
The forgo.ing instrument was acknowledged before me
this lklayof f--Ebi,[C1 �y ,2021 by
1hi1c,m%�Un
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
i
i
(Signature
The forgo ng instrument was acknowledged before me
this I Jay of I�( � Lcur-" 20 Z� by
Name of person making statem nt
Personally Known OR Produced identification
Type of Identification
Produced -
of
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Commission �?.���:�: tic - Statebf r'f�l�ida
Commission No.
: SAVITRI GARCIA
?,' " Nata Public • Stat f,E�gr�ida
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Commission GG 953398
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y Comm. Expires Apr I, 2024
My COMM. Expires Apr 1, 2b24
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DATE
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COMPLETED
Rev.8/2/17