HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1 LLICIL- t
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:Frank Caffrey
PROPOSED IMPROVEMENT LOCATION:
Address: 160 Banyan Drive, Port St. Lucie
Property Tax ID#: 3419-520-0009-000-5 Lot No.8
Site Plan Name: Caffrey residence Block No. 135
Project Name:
F6iTAILED DESCRIPTION OF WORK:
installation of 3-ton split Ruud single stage compressor and multi position air handler
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
YMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8690.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Frank Caffrey Name:Leonard Cipolla
Address:160 Banyan Drive Company:SOuthern Coast Services Inc
City: Port St Lucie State:_ Address:1804 NW Madrid Way
Zip Code: 34952 Fax: City: BOca Raton State:FL
Phone No. Zip Code: 33432 Fax:
E-Mail: Phone N0561-584-8455
Fill in fee simple Title Holder on next page(if different E-Mail Permits@southerncoastservices.com
from the Owner listed above) State or County License CAC1819865
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.
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.#you intend to obtain financing, consult
with lender or a befof_peommencing work or record' tice df Co encement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORJJ.DD�� A 2 STATE OF FLORID 7f
COUNTY OF_�C;I.C-yr) '7 COUNTY OF ,iiM Ai
Sworn to(or affirmed)and subscribed before m Swor to(or affirmed)and subscribed before of'
hysical Pre nce or Online Notari tion Ph Ul) sical Pre ence or Online Notari do o
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Commission No.('I Seal 4 .•..�'�'�• �'7 �� (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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