HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/27i2017 Permit Number: 0a -
=-- =---- SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial my Residential
PERMIT APPLICATION FOR: Mectianical
PROPOSEDIMPROVEMENT LOCATION:
Address: 8540 COMMERCE CENTER DR
Legal Description:
Property Tax ID #: 33278070001007
Site Plan Name:
Project Name: _KITCHEN OUTDOOR UNIT REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED'd1SCRIPTION OF WO;R
I INSTALL NEW RUUD 10 TON CONDENSER WITH ENGINEER LETTER.
CONSTRCJCTIOWNFORMATION: ,
nwW Iwi IIICU unucu uu>Pci a uL—uieya au aPPry:
ZHVAC _ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator L Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3500 Utilities:Sewer ESeptic Building Height:
OWNER/LESSEE IWF PSL HOTEL I0U 06RS LLC
CONTRACTOR:ALC DOCTORS
Name IWF PSL HOTEL INVESTORS LLC
Name: DAVID KRUSE
Address:1933 CLIFF DR STE 1
Company: ACDOCTORS
City: PORT SAINT LUCIE State: FL
Zip Code: 93109 Fax:
Phone No.
Address: 1853 BILTMORE SR
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 7726075700
Phone No. 7723443944
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ACDOCTORSINC@GMAIL.COM
State or County License:
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. r�rj.O
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DESIGNER/ENGINEER:
x Not Applicable
MORTGAGE COMPANY: x_ Not Applicable
Name: FORT PIERCE ENGINEERING
Name:
Ad d ress: 315 SOUNT TTH
Address:
City: FORT PIERCE
State: FL
City: State:
Zip: 34950 Phone: 7726724636
Zip: Phone:"
FEE SIMPLE TITLE HOLDER:
x • Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 contiict 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 It Record a Notice of Commencement may result in your paying twice for
improvements to ygou�propert otice of Commencement must be recorded and ted on the 'obsite
before the fir in Ion. I in nd to obtain financing, consult with l7e er Or ttorn ore
commer ore r Notice of Commencement.
s
Sig re of r/Lessee/Contractor as Agent for Owner Signatur Contra Icense o er
STATE OF FLOfT 1 STATE OF FLORI A
COUNTY OF 1 f IQYttV1 COUNTY OF_ �ar-hn
The forgoing instr4meyt was acknowledged before me The forgoing instrument was acknowledged before me
this day of �QI hC 20 by this 0 day of 5rjk [c 20 1 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature off f t Public- State of Florida) . / (Signature of Nary Public- State of Florida )
Personally Known OR P oduced Identification " Personally Known OR Pr }Iced Identi>ication
Type of Identification Produced major _ h Type of Identification Produced t-f o t AA-
e� M1'COMMIS$ION►GG ogxrr�i 1011"19 IMRI6
Commission No. ti al/ COMMS IDN#6 mmission No. A,� 'e0C0WA=10N/00064
�+IFoABOMeC ihnl Bldoet Nafmv EXPIRES: Mash 6,2021
Revised 07/15/2014
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