HomeMy WebLinkAboutpermit app PineViewAll APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / Da Permit Number:
S5v.
O
a µ 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:NEW Mini Split HVAG
PROPOSED IMPROVEMENT LOCATION:
Address: 3265 us-1 fort pierce fl 34982
PropertyTax ID #: 2427-601-0054-000-5
Site Plan Name: Pineview Mobile Home park
Project Name: Culb House
DETAILED DESCRIPTION OF WORK;
Install 2 2 ton mini splits in club house
New Electrical Meter Second Electrical Meter
I.CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors Pond
Electric ^ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7350
— Generator Roof Pitch
Sq. Ft. of First Floor: 875
Utilities: —Sewer Septic Building Height-
OWNER/LESSEE:
Name Pineview Moblie Home Park
Address:3265 us-1 fort pierce fl 34982
City: fart pierce
State:
Zip Code: 34982 Fax:
Phone No.772-293-0069
E-Ma i I : gramos@rivstone.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: David Nutting
Company: Central air systems inc LLC
Address:4665 widita ka way
City: WPB
Zip Code: 33417 Fax: _
Phone No 5615856819
E-Mai I stephennttng@gmaii.com
State or County License CAC-054741
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,50a or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: _ Not Applicable
Address: Name;
City: Address:
State: City:
Zip: _ •Phone Zip: Phone: State:
FEE SIMPLE TITLE HOLDER: y Not Applicable BONDING COMPANY:
Name: Name: Not Applicable
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 5t.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornei before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA 5TATE ❑F F%RIDA"A,,COUNTY _COUNTYO
S o to {or affirmed] and subscribed before me of Swo to {or affirmed} and subscribed before me of
Physical Pre nce or Online N❑#arixatiot�
thisGd day of F 24 bysical Pre ce or Online N�arization
T y this day of ii 242 by
YZ i. fil��
Name of person making s# t. : �� •�� ''� '
Name of pe on makin statement. ,•► •�
Personal) Known NOTARY
Y OR Produced1dentificolgaUL 8ersonaff Know `
Type of Identification _ Comm. # HH 0414N Y OR Produced Identifliat'
Produc hype of l entification �8�4R't`
��+ sep 1s. 2D24 .produce PUBLIC
Comm. # HH D41499
r. Sep 16. 2M
{Sig atur of otaryub 'c- tate o Flo a }"soil, 1► ►''
{Sign a of Notary PubM!Wort
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Commission No. fI (Seal) . . . . . . +►'►
} Commission No.t'f%r c' (5eal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
BATE REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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