HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Igo
CSC s
c L Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Mechanical—AC Change out
PROPOSED IMPROVEMENT LOCATION:
Address: 3804 Crab Apple Drive
Property Tax ID#: 3425-705-0098-000-1 Lot No.12
Site Plan Name: Savannah Club Phase III Block No. 42
Project Name: Haig Residence
[DETAILED DESCRIPTION OF WORK:
AC change out like for like (Dn -1-
- I4
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical 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: $ 5200 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJoan Haig Name:Mark A Vines
Address:3804 Crab Apple Drive Company:Aztil Air Conditioning
City: Port St Lucie State:_ Address:2540 S Military Trail
Zip Code: 34925 Fax: City: WPB State:FI
Phone No.561-433-2197 Zip Code: 33415 Fax:
E-Mail: Phone No561-433-2197
Fill in fee simple Title Holder on next page (if different E-Mail Permits@aztilac.com
from the Owner listed above) Stntn or COuntV Lic@ns2GAG0#49253
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.
'SUPPLEME'NTAL•CONSTRUCTION LIEN LAW INFORMATIOW
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. If you intend t9,6btain financing, consult
lender or an attorney before commencing work or recording our Notice o Commencement.
ign ure of Owner/Lessee/&ractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Pafm Beach COUNTY OF Palm Beach
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x sical Pr is or Online Notarization X �Jaysical Pr nc or Online Notarization
this day of 2020 by this day of 2020 by
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Name of person making staterKent. Name of person making statement.
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Commission No. (Seal) Commissicid.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
REGEMP
DATE
COMPLETED
Rev.