HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETE9(t%$MPPLICATION TO BE ACCEPTED !l
Date: August 28,2014 BY Permit Number: A11)0 Q - V3(,}
St. Lucie County
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: 6905 Sebastian Rd
Legal Description: LAKEWOOD PARK -UNIT 12
Property Tax ID #: 1301-614-0133-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Replace existing air handler and condenser with like air handler and condenser
3.5 Ton, 16 SEER, Straight Cool 10 kW heater
WIHVAC LJ Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3988
uncier this permit — cl
❑Gas Piping
❑ Sprinklers
a
Lot No.15
Block No. 161
UShutters ❑ Windows/Doors
❑ Generator ❑ Roof
S Ft. of First Floor: _
Utilities: Sewer Septic
Name Nicole Havee
Address: 6905 Sebastian Rd
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772 216-2592
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
20071
DESIGNE
Name: _
Address:
City:
Zip:
NGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
x Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
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
commenciRgSork or recording your Notice of Commencement. _.,
Signature
Lessee
ntractor/License
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF�_ ��, COUNTY OF •L
The forgoing inst ument was acknowledged before me The forgoing ins ment was acknowledged before me
this day of 20� by this day of 200by
IL
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of rlorida )
Personally Known QR OR Produced Identification
Type of Identification Produced;5 a�
LASHAHNAINGRAM
Commission No.'�S (� MMISSION 4 EE 050558
M. PI 6S: December20, 2014
°� Notary Public Undarwlif ,
Revised 07/15/2014
Personally Known W OR Produced Identification _
Type of Identification Prod ucedSSS3n-'7F9.05� -O/Zo
mission No.
LA INGRAM
MY c0 N i EE 050558
EXPIRES: December 20, 2014
Bonded Thru Notary Public Underwriters
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