HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12;Y--2018 SCANNED Permit Number: I
BY
RECEIVED
St. LucieieCounty
Building Permit Application DEC 1 1 2018
Planning and Development Services ST. Lucie Coun
Building and Code Regulation Division ty Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 15
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:'a J
Address: 10102 S OCEAN DR 703A
Legal Description: ATLANTIS CONDOMINIUM BLDG A UNIT703A AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3102-864)
Property Tax ID #: 4502-802-0060-000-3
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
IT
,DETAILED.DESCRIPTION OF WORK: - '
A/C CHANGE OUT OF A 2.5 TON 16 SEER 7.5 KW RUUD UNIT
CONSTRUCTION INFORMATION`.
Additional wor to be Dertormed un er t is permit —c ec a app y:
✓❑HV, Gas Tank Gas Piping Shutters ❑ Windows/Doors
v'
Electric Plumbing .Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3700 Utilities: Sewer Septic Building Height:
.OWNER/LESSEE
CONTRACTOR: ,..
Name Nataliya Muzychka
Name: GRETA B SMITH
Address:60 SIR STEVENS DR
Company: ALL YEAR COOLING AND HEATING
City: MAPLE, ON State: CA
Zip Code: LEA OH9 Fax:_
Phone No.
Address: 1345 NE 4TH AVE
City: FORT.LAUDERDALE State: FL
Zip Code: 33304 Fax:
Phone No. 954-566-4644
E-Mail:
_
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: JMANKOWSKI@ALLYEARAC.COM
State or County License: CAC058160
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
('SUPPLEMENTAL``CONSTRUCTION. LIEN. LPWIN FO,R'MATIONt m
Name:
Addres
City: _
Zip:
Phone:
Iplicable MORTGAGE COMPANY:
Name:
Address:
State: City:
Zip: Phone:
Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _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 contlict 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 recordine vour Notice of Commencement.
Z
uIF'FLORIDA
Owner/Lessee/Contractor as Agent for Owner Si nature of Contr ctor/License Holder
E STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF BRO—RD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5 day of DEC 20 18 by this 5 day of DEC 20 18 by
Nataliya Muzychk+ GRETA B. SMTH
(Name of person acknowledging) - (Name of person acknowledging )
re of Notary Public- St a of Florida ) I (Signature of Notary Public;,�te of Florida )
Personally Known x Personally Known x
Type of Identification Notary Pubic State of Fbdda Type of ldentificatio
o er James SuclKley
CC�o�tt��iiss�pnt�GG 040158
Commission No. '.A-y=VQ=0Q2o Commission No. _
Revised 07/15/2014
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