HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE.INF.O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:.211(17Per mit,Number:_ r! r -y — 01sq
.Building. Permit Application SCANNED
Donning anaiDevelopmentServices BY
Building -and code Reguotion'Division St. Lucie County
2300 V'rgmiaAvenue, Fort Pierce FL 34982
Phones$772) 462-1553 Faz;'(772) 462-1578 CgRlR1CrCial x Residential
RER(bII7rAPPLICATI0N'F0R Mechanical
Legal Description: 11 35'39 NE 1/4.0F NW 1/47LESS N80 FT AND E25 FT -AND E 314 OF SE 1/4 OF 19W'7[4;-LESS_5 545T
AND E:25 FT AND LE88 ROGK RD AS IN PB 3f-15-(68.96;AC) _(OR 421-2f50j
Property Tax ID #:'2311-210-00o0-000-6'Lot No.
Site Plan Name: 'ROGKROAD JAIL Block No.
Project Name; CONTRACT #C16-12-689 AIR HANDLER REPLACEMENT'
Setbacks `Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOW0F WORK
REPLACE AIR HANDLER IN POD 54 ROCK ROAO;JAIL
ZHVAC Gas'Tank ❑Gas f4pm9 Shutters ❑ Windows/Doors,
Electnc' Plumbing �Spr�nRlers Generator Roof .Roof,pitch
Totai Sq. R of Construction:- _ So. Ft. of First Floor
Cost of.Construction S. 395,060 00 Utilities:08eweraSeptic Buildjng Height:
OWNER/LESSEE; ~`
R
Name ST LUCIE COUNTY
Name.' MICHAEL G: VNNOHANI, JR
Address:2300 VIRGINIA'AVE
Company'.'GIBSON AIR CONDITIONING'& REFRIGERATION; LLC
__ -
City FORT.P.IERCE State F�._
Zip; Code: 34982.... Fax: -
Phone No.
Addrews 316;OOMMERCECOURT
City. WNTER HAVEN- State: FL
Zip Code: 33880 Fax: 863-299-9600
Phone No. 863-679-8256
E-Mail: -
FilPin fee simple Titie Holder on'riei t page (if different-
from the Owner listed above)
ErMail:. gibsonaircondition@aol.corn. -
State•or;County License: FLORIbK I CMC1250345
If value ofconstruction is $2500 or more,.a RECORDED Notice of:Commencement is required.
DESIGN ER/ENGINEER1 Not Applicable
Name:
MORTGAGECOMPANY. NotApplicabl.e-
'Name:
Address:
Address:
,City: State:
Zip! Phone:
'City:, State6.
Zip: _.Phone:
FEE SIMPLItTITLE' HOLDER: Not Applicable
Narne:
'BONDING COMPANY: Not Appli.ca-ble
Name:
Address:
Address:
City;
City'
Zip- Phond'
Zip:,_ Phone:
I certify a permit.
� V that work,pr in'stallation !has commenced prior to issuance of pe
In -,consideration of the granting.cif this requested permit, I do h6rebyagre&that I will, in - all respects,perform theC•work
if ac.c.o.nd'ance. withthe approvid plans, the Florida Building Cocle�-and St. 'Luc"i i Cou-4ti.iAmendmeh-ts,
The fall"owing building pe-fnit applicatioInsare e.xempt from- undergoing ing a full concurrency review -
room additions,
accessoystructures,swimming pools, fences, walls, signs; screen room5:and accessory uses to another hon-residential use
WARNING TO OWNER: Your failure to Record -a Notice o - I Commencement may result in yourpayingtwic6'for
'improvement 11 s to your - - property. A'1\16tice'bf Comm6noernent must be recorded and posted: on the jobsite
,before the first inspection -If yoU-intehd tqobtain financing,; consult with lender or an attorneybefpre
F 1PRIPA p STATE OF FL,
F .011
— I COLINTYCIFORIDA
The forggirig instrument was acknowledged before me,
'this, 118 day . o I f F4k . 4 20my
(Nami of p6 son_acknowledging)
ff -
The forgoing instrument was acknowledged before
4 me
this dayof- a0ftr 20 1-7 by
(Name of person ,acknowledging )
(S�ilgnatqreof Notary Public -.State of Florid —a) (Signature of No6ry Public - State of Flor!O.)
Commission,No.
-Revised 07/150014
Identification �!e �soqally Kn�qwn-:�'.qRProduced ldentification
mmm, EX
y Cd0 w W - . . - Ires 51jr-?0. 2020 4-RIP', I Comm.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
5EATURTLE
MANGROVE
,COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
DATE'COMPLETE
INITIALS,