HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: 03/15/2017 Permit Number: D344
By
mgoWetr 0mit 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 Residential X
PERMIT APPLICATION FOR: Mechanical
,:PROOPOSED IMPROVEMENT LOCATION:
I
Address: 3827 St Mark Dr Fort Pierce FL 34983
Legal Description: St James Park Blvd
Property Tax ID #- 2434-501-0071-5 I Lot No. 16
Site Plan Name: Block No. 5
Project Name:
Setbacks Front-' Back: Right Side: Left Side:
.DETAILED DESCRIPTION OF WORK:
A/C Install and Duct Work
2.5 Ton 8 KW 16 SEER
" .
CONSTRUCTION INFORMATION':.'.
-
Additional work to e e orme under tispermit—checka apply:
RIHVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 1726 S . Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities:nSewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Julian Laffont
Name: James Hafke
Address: 3827 St Marks Dr
Company: James Hafke
City- Fort Pierce State: FL
Address: 2200 Tall Pines Dr
City: Largo State: FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 33771 Fax: 772-248-0227
E-Mail:
Phone No. 727-277-1208
Fill in fee simple Title Holder on next page (if different
E-Mail: jenwitte89@gmaii.com
State or County License: CMC1250196
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,.SUPPLEMENTAL CONSTRUCTION LIEN.LAW.INF
DESIGNER/ENGINEER: x— Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MATION•
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
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
commencing work or recording vour Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF N-
The forgoing instrument was acknowledged before me
this 15t^day of . 20 )1by
(Name o person acknowledging)
(Si at re ta ory Public- State of Florida`);
Pers ally Known OR Produced Identification
Type of Identifica on Produced
Commission No. 200NNADOLORFSCRISAM
My COMMISSION # FF994031
R EXPIRES: May 18, 2020
Revised 07/15/2014
x�'_ 0�4� s
Sig ure of Contra r/License Holder
STATE OF FLORIDA
COUNTY OF LAxL,1,Y,
The forgoing instrument was acknowledged before me
this day of M Ow'G(I\ 20 1l by
�' )� .
(Name of person acknowledging)
(Si atu e o Notary Public- State of Florida )
Perso ally Known � OR Produced Identification
Type of Identification Produced
Commission No. MMFL i VL0WCRISAk
MY COMMISSION # FF994031
REVIEWS
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SUPERVISOR
PLANS
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MANGROVE
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DATE
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COMPLETE
INITIALS