HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/�/�� /�Q
Date: 3/29/2022 Permit Number:(A?�� , by �S(p
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM°PROVEMENT LOCATION F
Address: 7000 Toney Pine Circle, Port St Lucie, FL 34986
Legal Description: PGA (Toney Pines)
Property Tax ID #: 3322-504-0001-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK
Right Side: Left Side:
Lot No.
Block No.
Change out like for like 2 1/2 ton unit, 16 SEER,5KW heat, York Condenser YCG301321 S, Air Handler
AE30BX21
CONSTRUCTION INFORMATION s
Additionalwork to be i5ertormed under this permit— check all apply:
�HVAC Gas Tank El Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ $5025.00 UtilitiesSewer Septic Building Height:
O-W�N ER/LESSEE
F.-_-_,
CONTRACTOR:
Name Torrey Pines Club House (c/o Lang Man)
Name: Keith Thompson
Address: 2140 NW Reserve Park Trace
Company: AC Keith Inc.
City: Port St Lucie I State: FL
Address: 690 SW Pueblo Terrace
Zip Code: 34986 Fax: n/a
City: Port St Lucie State: FL
Phone No. 631-278-4559
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: ackeithl@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.
SUiPPLEMEMTAL CONSTRUCTION
L IEN LAW 1N'FORNPATION
—. .�,...:cx .. ... .�._.
DESIGNER/ENGINEER:
...._. .. .. ,. • „_.. ... , ,. _ate �..._, n.z ., f •. .;_ _, ..i' .__:..`. ...._�; i ';_:'. _ t .:J{1 __:r ... c.. _.. .i. .�'
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:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
eiw���. / w
Zip: Phone:
VYv1VCK/ %—Ulm 1 K1H1.1 UK AFFIUVIT: 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. If you intend to obtain financing, consult with lender or an attorney before
in
commence g work or record' - �? ,g your Notice of Commencement. If
as Agent for Owner
STATE OF FLORIDAC/
COUNTY OF S-1- L. U c i e—
The forgoing instrument was acknowledged before me
this fJOday of &Jdc.r'C�_ 20 ZL by
0— ► k-, � I o y1n 05 Ok%
Name of person making sthtement
Personally Known OR Produced Identification
Type of Identification
Produced )'G L
Sjdnature of Notary public- State of FI
Y......
Commission No. &�- �6 SZ
Q
x
REVIEWS FRONT ZONING ~:.S
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Contractor
STATE OF FLORIDA Ar
COUNTY OF `- Zcs C: -e—
The forgoing instrument was acknowledged before me
this 30day of _Marc k 20?—by
Name of person makind''statement
Personally Known OR Produced Identification
Type of Idea�ification
Produced kZOC_
of Notary Public- $-fate of FI
KATHIE L. s SWIM
Notary Public - Sta eCePFlisiTi n No.
Commission N 967t50
My Comm. Expires ar 27, 2024
JPERVISOR I PLANS I VEGETATION I SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
KATHIE L, S I
Notary Public - Sta a Florida
Commission 0 Ci9 1 so
My Comm. Expires a 7, 202,
MANGROVE
REVIEW