HomeMy WebLinkAboutBlocking Diagrams ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/26/2021 Permit Number:
RECEIVED
•
_ _•_- Building Permit Application JUL 2 7 2021
Planning and Development Services St.Lucie County
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROP`05LD'IM:PROVEMENT COCATION
Address: 6599 S US Highway 1, Port St Lucie, FL 34952
Legal Description: Flowers Baking Co. of Miami
Property Tax I D#: 1003008 Lot No.
Site Plan Name: TastyKake Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF,WORK:'',°
Change out like for like 3 ton, 14 SEER,No heat, Carrier condenser CA14NA036, air handler
FB4CNF036
CO,NST,RUCTIO'N.INFORMATION:
Additional work to e e orme under this permit—c ec a app y:
❑✓—HVAC E]Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ $4400.00 UtilitiesInSewer Septic Building Height:
.OWNER/LESSEE : CONTRACTOR:
Name Flowers Baking Co.of Miami Name: Keith Thompson
Address:6599 S US Highway 1 Company: AC Keith Inc.
City: Port St Lucie State:FL Address:
Zip Code: 34952 Fax:n/a City: Port St Lucie State:FL
Phone No.772-321-8795 Zip Code: 34953 Fax: n/a
E-Mail:Wayne.goodman@flocorp.com Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@aft.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is$2500 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. I you intend to obtain financing, consult w th lender an.attorney before
comm ncin work or r din our Notice of Commenceme
-OF
Signature of Owner/Lesse s Agent for Owner Signature of Contracto e o Wer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF J.S Za C-./,--e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z day of 20_2� by this day of 20 Z/ by
Name of person making statement / Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification ✓
Type of Identification Type of Identification
Produced AG - /i CQ/l a Produced
(Signs ure of Notary Public-State F]Wid (Sig n toe of Notary Public-State of FI ri a
;=o• �..: PHYLLIS ANN WAN U
/►/� o ? Notary Public-State of FI rids /' r P4''
Commission No.(TC�'- 6�27J •mil) Commission p GG 36 2�4m ission No. (T�3GyZ93 =o PHYLLIS ANN 'A n
Notary Public-Stat Florida
My Comm.Expires Aug ,2023 Commission p G 3 293
My Comm.Expires i us ,2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17