HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATloN T0 BE ACCEPTED
Date: 4-
i-`F. LC±ctE_ --.CQ,
[TF. a_L=:._I_E fi --=r.-
Permit Number:
Building Permit Application
Planning and Development Serv.Ices
Building and code Regulation Division Commerc.lal
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
pERMiT AppLicATloN FOR: HVAc chanae out
PROPOSED IMPROVEMENT LOCATION:
Adclress: 5212 Manciano St Ft Pierce FI 34951
Property Tax lD #:1311 -700-0207-000-8
Site Plan Name: Waterstone 5212
Lot No. 4
BIock No. 4
Project Name:Waterstone
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTloN 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
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor:
Pitch
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:CdNTRACTOR:
Name Waterstone Investment Group LLC Name: Michael Wayne
Address: 1400 E Oakland Park Blvd Ste 103 company: Pro Mechanical Air Conditioning` lnc.
city: Oakland park, FI State:Address: 1756 SE Clearmont St
city: Port st Lucie state: FlZip code: 33334 Fax:
Phone No. 954-567-5161 Zip code: 34983 Fax:
E-Mail.im@tmlendina,com Phone No 772-370€961
Fill in fee simple Title Holder on next page ( if different E-Mailsianatureacsvstems@,comcast.net
State or County License 29246from the Owner listed above)
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.
•:.,,-`-JX.,i,'.:-.:i:,;<!!/i,"i?il{X:,-:,i,'.,;i:.I:I,;'.:.};c?if.w/`,`t,,t;.I,,.,`t-`,;,,`,yu.,r),.`{.,),,,tt`,,:v;Jr,,,J.``7{t-t., `zf``{{``+`, i 7 ` .,. \'y,flL`,+,)^,i. `t ¥,t,r.`..`,rk,,?.„f., ``.-``, ,`-`-xl `* :`:r-.- ,I.1** , \ :` -,),'`* \ :, -.i .A.I ` ¥,,,'Z.i,,I:'f., .il l.`J i:`_,/`','f i,` .!1, , ,J`:-,I,- `,,.+ 1* ,'::`,`'-,
I
DESIGNER/ENGINEER: Not Applica6Ie MORTGAGE COMPANY:Not Applicab
`.`f±` I .'`.a ¢ +; ='.:I.+<1e
Name:Name:
Address:Address:
City: State:City: State:
Zip, Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicab e
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.
#|?u,cj:#gn:t!:ci:w#,,#:ahpp;5;i:ran#:tLfi55h#i#ars:t;:i:otafopan?i:o:n:trru#:aa#,h3o#zi:te!d:gpo;:#e3s|tgricrht;8n%ua##thsc:t;ga::p:r,Syt:riubi{usruech
ln 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 app icatjons are exempt from undergoing a full c oncurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nan-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resul t in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the publi c records of St.
Lucie County and posted on the jobsl•te before the f irst inspec tion. If you intend to obtain fin ancing, consult
with lender or an attorney before commencing work or recordi/ig your Notice of Commencement.\
Nut «trytw Worry
Signature of Owner/ Lessee/Contractor as A ent for Owner Signature of Contractor/License Holder a
.`,ts
§bAUTF£FOFFL°R[D&Luc^`GL §bAUTE£FOFFLOR[DstLi;a`e_i!
om to (or affirmed) and subscribed before me of
#ife:a:y:off::mrifi':a;{d=r:bnei:#[:br;z:t::n;vu~`'I.,,\".;i#iEL:ay':frfieac;.:I °n'jnaiEtabrjzation
` aLej\ \^ioLune =
Name of person making statement.Nam-e of person making statehaent.
PersonaHyKnownJLORproducedldentification PersonaHyKnownELORproducedldentification
Type of ldentific ation Type of Identification `,,"„i„
Produced~t.,..-...``..`.....,.., ==sc:i,.....:..i..i. IF-Produced
. ,,4j,z.~4, - A z,/,ijfzz jar.a..:,.a:.. `swANNt`sTILI_wF
7 9ere(signa:u:eofNotarypubHC-Si.¥jffigg`i.drtyETxpTREinsi5j3V!;;,L##7',0]rl.1hF,('`8g(Si a:ure of N0tar+ Public-Stat :..3:;#;s:?``-:) n:£',...'I.`,`:N'§;%:N:;£¥2'/q.71g.I-{'/
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATloN SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
eN.516/2:JJ