HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/31/2021 Permit Number:
_ RECEIVED
• LQ
Building Permit Application SEP 0 2 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 Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9619 Enclave Circle
Legal Description: PGA(Enclave at the Reserve)
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Property Tax ID#: 3322-800-0019-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out like for like 3 ton unit, 16 SEER,5KW heat, Bryant Condenser 127ANA036, Air Handler
FV4CNF003
CONSTRUCTION INFORMATION: I.
Additional work to be nertormed under this permit—check a apply,:
ZHVAC Gas Tank ❑Gas Piping —Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ $6200.00 Utilities: _Sewer l:]Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Miriam Mayrides Name: Keith Thompson
Address:9619 Enclave circle Company: AC Keith Inc.
City.. Port St Lucie State:FL Address:
Zip Code: 34986 Fax:n/a City: Port St Lucie State:FL
Phone No.908-209-0763 Zip Code: 34953 Fax: n/a
E-Mail: Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeith1@att.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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION }I,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: . Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name:. Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or anScovenants 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,jin all respects,iperform 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 anothier non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in 1your paying twice for
improvements to your property.A Notice of Commencement must be recorded and 1posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commppcipg VVork or recor i our Notice of Comme cement.2
ignature o wner/L ssee/ tractor as—A—g—e—ni for Owner ignature of Contractor/ cense Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF `?1 11—t.11�
The for oing instrument was acknowledged before me The forgoing instrument was ack owledged before me
this 'J� day of 20�11 by this 3 11, day of P'Lt.0 _+- 20,,YL by
Name of person making statement Name of person making statement /
Personally Known OR Produced Identification Personally Known OR Produ
✓ ced Identification
Type of Ideftification Type of Identification
Produced (OlL�O(-k- L— Produced (orz,' fN- C
o - �:l A—
(Signature of Not aims#ww (Signature of Nota
tVXYP�/''•. BELINDAW.SUrCLIFFE 1 YP� '•: BELINDAW.SUTCLIFFE
Commission No. °?: �: ry Public-( bf Florida Commission No. � �`:• Notary Public(Sr@��f Florida
tF: Commission#GG 951651 :;�,� o�:' Commission#GG 51651
My Comm.Expires Apr 17,2024 °F F`' My Comm.Expires Apr 17,2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED j
DATE
COMPLETED
Rev.8/2/17
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