HomeMy WebLinkAboutSUBMITTED PAPERS11-19-'14 13:28 FROM-
T-249 P0003/0004 F-663
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED �r�%
Date: Permit Number:_ / T/ /r O /
SQA/V/V
Building Permit Application Sr. CU
Planning and Development Services Ole Coon
Building and Code Regulation Division i`y
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential . X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: $ S6 L p V10 &ENC.6 'ORIUL-
Legal Description: LA 1V o a+ A V %+A Gope4eA�+J4 Q N i'r
PropertyTaxlD#: 3Yd6-G6k-bOSi�Ooo-s Lot No. -
Site Plan Name:
Project Name:
Setbacks Fri
14VACC_ G ►cam
Right Side: Left Side:
)3
?-1:;�-C=�w4%.Y-A
S&P-g- I -r'
I o <W
Block No.
ISHVAC
L J Gas Tank
❑Gas Piping
U_ Shutters
❑
Windows/Doors
❑Electric
1:1 Plumbing
❑Sprinklers
❑ Generator
❑
Roof
Total Sq. Ft of Construction:
Cost of Construction:
$ 3q 20 pu
NameF'oXkf- Stvhoso
S Ft. of First Floor: _
Utilities:Sewer ❑Septic
Address$SK61 Yto2E
city:t'Poe;c- S-r Lace stater(.,
Zip Code: 3 YIS '�' Fax:
Phone No. -7 d - O et (0-1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Name: "'Td!.EE ALY"tidA
Company: CC-GAAJ AiA- �C}la►aCag/cS
Address: IS'? f A/IGSmBXd0_ el�L.
City: AT I e State:-�i .
Zip Code: -NgrL Fax: 772 :P3r 1949E
Phone No. 7 72- ZD d /
E-Mail: ,S784P /QOL.
State or County License: j7 ra 5-,F 6.542
construction is $2500 or more, a RECORDED Notice of Commencement is required.
11-19-'14 13:28
FROM-
T-249 P0004/0004 F-663
..
Name:----•--.----
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip:
Phone:
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflty ict 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
WARNI NG 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
commencine work or recordine vour Notice of Commencement.
S Owner/ Agent/ Lessee Si Contractolder
STATE OF FLORIDA STATE OF FLORIDA
cOUNTYOF S"T W 16 Co,..>COUNTYOFS't LOC,ir 00UAl�j
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this Pqday ofPOUMM6&L . 20 14 by thisyclayof O1l� 20,,4 by
-_ lYIe1Jog
(Name of person ackn w edging )
15mA- Wall,
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
SANDRA WALSH
Revised 07/15/111Wi-„?/ EXPIRES Apol 11, 2018
(Name of person acknowledging)
I a/ah/_
(Signature of Notary Public- State of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
Commission No.
.n'/ (SAN R WALSH
EXPIRES April 11. 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
l� �ucu �io
Planning 8 Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
Phone:(772)462.2172 Fax:(772)462-6443
Inspection Card
Permit # : 1411-0257
Online address:
http:/Avwa.sUucieco.org/planning/permit ing.htr
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit#
SLC-1411-0257 #Confirmation 116 Status ISS
MECHANICAL/HVAC RESIDENTIAL -
Issued:
11/19/2014 Type: REPLACEMENT SYSTEM
Job Location:
8561 Florence Or City: Port St Lucie
Jurisdiction:
ST LUCIE COUNTY Parcel: 3426-664-0059-000/5
Subdivision:
LA BUONA VITA MHP Lot: 59 Block:
Flood:
Elev: Flood Map:
Set backs:
Left: Right: Front: Rear:
Job Description:
Like For Like 13Seer, 3.5Ton, 10Kw System.
Contractor
Jeffrey Almeida — Cert# 20622 Clean Air Technologies-Hvacr Inc (772) 335-2061
1578 S Niemeyer Cir Port St Lucie, FL 34952
Property Owner
Doris N Simpson (772) 871-0967
8561 Florence Or Port St Lucie, FL 34952
Property Owner
Leigh A Simpson
8561 Florence Or Port St Lucie, FL 34952
SUB -PERMITS
Permit No Status Permit Type Cert # DBA Owner/Builder
For the automated
inspection system call (866) 284-1280. To schedule an Inspection online go to
http:Ucodeinspectionpublic.stlucleco.gov.
All inspections requested prior to 9:00 PM will be scheduled for the next business
day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you
require any assistance please contact the Building Department at (772) 462-2172.
Inspection Notes:
Permit Code
Description Priority Schad. Date Res_ Description Inspecto Insp. Date
1411-0257 380
MECHANICAL FINAL 1
1411-0257 999
FINAL INSPECTION 1
Total Inspections: 2
Report prepared on 11/19/2014 2:21:31 PM
_ Receipt
-- -- ----- ---- Online address: httpalwvnvstlucieco.org/planning/permitting.htm
Planning & Development Services Quick Links:
Building & Code Regulation Division Permit Status Lookup
2300 Virginia Avenue Online Building Inspection System
Fort Pierce, FL 34982 Daily Inspector Schedule
Phone: (772)462-1553 Fax: (772)462-1578
Date: November 19, 2014
Receipt #: 0000103050
Permit Number: 1411-0257
Jab Address: 8561 FLORENCE DR
Amount: $85.26
Paid With: VISA
Credit Card # 0283
Paid By: CLEAN AIR TECH
Received By: ingraml
Fee Description
Fee Amount
N-BP Surcharge - Permi709 - HVAC - (replacement sys)(1 &2 fam
$2.00
NBPSur709
resid)
N-BP Trust Surcharge - Permi709 - HVAC - (replacement sys)(1&2
$2.00
NBPTru709
fam resid)
NPermi709
N-Permit Fee - HVAC - (replacement sys)(1 &2 fam resid)
$75.00
NBIMS651
N-BP BIMS
$5.00
Credil5
06-Credit Card Fee -1.5%
$1.26
Total:
$85.26
11/19/2014 2:21:28 PM
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
BUILDING PERMIT
Online address: http:/AwAy.stfucieco.org/planning/permitUng.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit #: SLC 1411-0257 Confirmation #: 116
Job Location: 8561 FLORENCE DR
Permit Type: MECHANICAL/HVAC RESIDENTIAL- Status: ISS
REPLACEMENT SYSTEM
Job Description: LIKE FOR LIKE 13SEER, 3.5TON, 10KW SYSTEM.
Subdiv: LA BUONA VITA MHP
Lot: 59 Block:
Setbacks Left: Right: Front:
Number of Units: 1 Floors: 1 Buildings: 1
Flood Map: Flood Zone: Elev:
Contractor JEFFREYALMEIDA
1578 S NIEMEYER CIR
Property Owner DORIS N SIMPSON
8561 FLORENCE DR
Property Owner LEIGH A SIMPSON
8561 FLORENCE DR
Issued: 11/19/2014
City: PORT ST LUCIE
Date Expired: 05/19/2015
Parcel: 3426-664-0059-00015
Rear: Zoning: RMH-5
Square Footage:
CLEAN AIR TECHNOLOGIES-HVACR INC (772) 335-2061
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
(772) 871-0967
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those
for all electric, plumbing, mechanical, roofing and structural work. Further he/she acknowledges.responsibility to comply with all requirements of the 2007 Florida
Bulding Code and the St Lucie County Land Deveeoopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved party by Sling a notice of appeal with St. Lucie County
Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St. Lucie County Land Cevelopment Code, Section
11.11.00., Appeals.
Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a
satisfactory Inspection within six (6) months from the date of issuance of the permit or if the work is not completed within 18 months (permit by contractor) or 24
months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Cade Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this
county, and there may be additional permits required from other governmental entities such as water management disitricts, state agencies, or federal agencies.
s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. a NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORIDNG
YOU NOTICE OF COMMENCEMENT. s:713.135 (10(a), F.S.
Carl Peterson Date
Building Official