HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/5/22 Permit Number:
�'r LUCIL
`' L c' u. V L, tt .-- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1000 Savanna Club BLVD Port St Lucie, FL 34952
Property Tax ID#: 3426-700-0002-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Hayes obo American Legion #318 - Like for like a/c system change out
DETAILED DESCRIPTION OF WORK:
I ikp for live i Pnnnx Merit Saripq 3 FTon Split System to See,with 10 KW Heat Using,
Condensing Unit Model#ML14XCl-041-230
Air Handler Unit Model# CBA25UH-048-230
AHRI#
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
x 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: $ 9,982.49 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameHayes, John Commander obo American Legion#318 Name:ROBERT CAMPBELL
Address: 1000 Savanna Club Blvd Company: Breathe Healthier Enterprises Inc
City: Port St. Lucie State: Fl Address:7886 SE ELLIPSE WAY
Zip Code: 34952 Fax: City: Stuart State: FL
Phone No. (772) 812-9557 Zip Code: 34997 Fax:
E-Mail:legionpst3l8@gmaii.com Phone No 772-600-7151
Fill in fee simple Title Holder on next page(if different E-Mail SUPPORT@BREATHEHEALTHIERAIR.COM
from the Owner listed above) State or County License CAC058685
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.
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 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 to obtain financing, consult
nwith lender
/orr an attorney before commencing work or recording your Notice of Commencement.
�.Ge 9YCc19Q- �o6�(�c�r�r�e�
Si ature of Owner/ ssee/Contractor as Agent for Owner Signature of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 5 day of January 202,A by this 5 day of January 202o'L by
John Hayes ROBERT CAMPBELL
Name of person making statement. Name of person making statement.
Personally Known x OR Pro du dentification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of ota I'�ti, CBu (Signature of
��. •tom ` D�M�ttiAh Comm.:Hill 124417
Commission 'i, i• COIIM11'; 61RMt7 Commission = , MyCWIMIIbil01� �;
?oF•"' Y wimm=lpn
� EltDit@� %numtto°` May 2.2025
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20