HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED F&R,it OkftTION TO BE ACCEPTED
08/27/2014 BY —Pio e _ ( ➢%9
Date: St. Lucie County Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 7909 Meadowlark Lane
Legal Description: THE PRESERVE AT SAVANNA CLUB
Property Tax ID #: 3425-706-0210-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Replace existing air handler and condenser with like air handler and condenser
4Ton, 15 SEER, Straight Cool 10 kW heater
Additional work to be ertormed
❑✓ HVAC Ei Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4000
Name . J"( 4-
Lot No. 20
Block No. 50
unaertnispermit— cneckaii apply:
In
Gas Piping _ Shutters Windows/Doors
Sprinklers I Generator Roof
S Ft. of First Floor:
Utilities:Sewer El Septic Building Height:
Address: " I-4A Q
City:'SL le- State: FL
Zip Code: 3gl'sD Fax:
Phone No.4 03 - 6_12 32
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Steve Smith
Company: Steve Smith Air Condtioning
Address: 8001 Eden Rd
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772 461-2036
Phone No. 772 461-1425
E-Mail: stevesmithac@aol.com
State or County License: CAC1813454 20071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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-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
commencingvork or recording your Notice of Commencement. _
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-.i� ,i_ COUNTY OF 53►-_
The for oing ins urnent was acknowled ed before me The forgoing inst ument was acknowledged before me
this day of 20M by this cQ 1 day of 20M by
2 �S�
(Name of person acknowledging) (Name of person acknowledging ) '
(Signature of Notary Public- State of Florida )
Personally Known O rroduced Identification
Type of Identification ProduceU)E-n m -� �t
�� :i .•Y'�y':: LASHAHNAINGRAM
Commission No. vSoS �: ��SeatVjrCOMMISSION #EE05(
EXPIRES: December20,
Bonded Thru Notary Public Unde
Revised 07/15/2014
(Signature of Notary Public -State of Florida)
Personally Known OR
Type of Identification Producei
n No. EL -&Soscz I`iy�. " bk=
December
Notary Public
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