HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V4O I k5 Permit Number:
RECEIV_=D OCT 14 2015
=- SCANNED
Building Permit Application By
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 IMPROVEMENT LOCATION:
Address: 3100 N AlA
Legal Description: Sands on the Ocean
Property Tax ID H: 1425-606-0083-000-3
Site Plan Name: Sands on the Ocean
Project Name: Cooling Tower Replacement
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Exact Change Out of Marley Cooling Tower
CONSTRUCTION INFORMATION: III
ZHVAC 1-1 Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction:$ 69,900.00
Piping 1IShutters
nklers I Generator
Sq. of First Floor: _
Utilities:DSewer OSeptic
Windows/Doors
Roof
Building Height:
-OWNER/LESSEE: - -
CONTRACTOR:
Name Sands on the Ocean Section 1 Association
Name: Terry Kotalik
Address: 3100 N AlA
Company: Precision Air Systems, Inc.
City: Fort Pierce State: FL
Zip Code: 34949 Fax: 772-466-8274
Phone No. 772-466-8274
Address: 11101 South Crown Way, Suite 2
City: Wellington State: FL
Zip Code: 33414 Fax: 561-795-1693
Phone No. 561-791-3980
E-Mail: Sands3100@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Michelle@Precisionairsystemsinc.com
State or County License: CMC056935
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY: x Nat Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 1 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 concurrent r lew: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and acce.- uses t another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commenceme t may re ult in your paying twice for
improvements to your property. A Notice of Commencement must a recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons with lender or an attorney before
Of
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S t . `k C\ ks COUNTY OF PamBea h
The forgoing instrument as acknowledged_Wore ore me
this dayofSC_-P� 20 Llby
(Name of person acknowledging)
The forgoing instrument was acknowledged before me
this 21 day'of September . 20 15 by
Terry Walk
(Name of person acknowledging)
(Signature of Notary Public -State of Florida) (Signature of Notary Public-S a of Florida )
Type of Identification
Commission
Revised 0711512014
M
MACH@LL'E L BC
MY COMMISSION #FF
EXPIRES June 14,
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