HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOCT-29-2014 11:12 From: To:772462157e Paee:1/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR AP I ATION TO BE ACCEPTED
SCANNED Id
Date: d BY Permit Number:
I�1 St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 9498,?
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: Mechanical
Address: 6007 BIRCH DRIVE I
Legal Description: INDIAN RIVER ESTATES
Property Tax ID #. 3402-609-0597-000-3 Lot No. 27
Site Plan Name: WILLIAM LEACOCK Block No. 68
Project Name: WILLIAM LEACOCK
Setbacks Front Back: Right Side: Left Side:
A/C CHANGEOUT OF A'2.5 TON, 16 SEER RUUD UNIT
5 y—vq
idiittional worK to pMsTank
rmea u
WIHVAC
11 Electric D Plumbing
Total Sq. I=t of Construction:.
Cost of Construction: $ 3100
permit — cnecK all apply:
Gas Piping _ Shutters
Sprinklers Generator
SIC Ft. of First Floor: _
Utilities. Sewer [] Septic
Name WILLIAM LEACOCK
Address: 6007 BIRCH DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982
Phone No. 772-332-3363
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: THOMAS A. SMITH
Windows/D6ors
Roof
Building Height:
Company: ALL YEAR COOLING
Address: 1345 NE 4 AVE
City: FORT LAUDERDALE State_ FL
Zip Code: 33304 Fax: 954-74,'5 8805
Phone No. 954-566-4644
E-Mail: AJENSSEN@AYCAIR.COM
State or County License: CAC068159
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OCT-29-2014 11:13 From: To:77i'� 1578 Pa9e:2,13
Name: _
Address:
City: _
Zip:
EER: , ` Not Applicable
State:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City: --- --
Zip: Phone:
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 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 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-residehtial use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your payini 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 lende r an attorney before
commencine work or recordinE vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The r ing inst mew s ackno edged before me
thi ay of 1(? ZU 14 by
STATE OF FLORIDA
COUNTY OF
The tDIgging instr t c o edged before me
this ay of 014 by
1r� i UA.eCrV-,-00A(
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary blic- State of Florida) 1gnature of Notary P blic- State of Plorida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of identification Produced _
" A Y JENSSEN Commission No.
Commission No., �?' 3 Sl ". 2; 4 A��R. i JENSSEN
MY COMMISSION #FF001816 p my COMMi?5SION #FF001B16
Revised 07/15/20
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