HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR'APPLICATION TO BE ACCEPTED,
Date: .� Permit;Number:
CANNED 1"—f6J�
J BY--
_ Lucie -Count
Building .P'er-mit_.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-- ''Co" i-hr 1erCial -Residential- X
PERMIT-APPLICATION'FOR: -
Mechanical
PIZOPOSED.IMPROVEM,ENT LOCATION
Address: 7901,.Winter Garden,Pkwy: ,
Legal Description: L'AKEWOOD-PARK=UNIT 5 BLK 49 LOT10
Property Tax ID #: 1301-605-0242-000-2 .. Lot No.
Site Plan Name: Block 'No.
' . ... .:.f''f^2'; e. , .. c .'.r' `tip
Project Name:
Setbacks ' Front' Back`. ' Right Side: Left Side: t '
DETAILED DESCRIPTION OF WORK .;
;.
Change -out of 3 ton 16 SEER -straight coot system with 10'kw.electric heat "like for like
MUUILIVIIOI WVIR W UC CIIVIIIICV unuel
�✓ HVAC _Gas Tank
Electric 0 Plumbing •
um pennu—cnecK an
❑Gas Piping'
Sprinklers
_Shutters
apply.
Q Windows/Doors.-
Generator` Roof '
Total Sq. Ft of Construction:
Cost'ofConstruction: S,2900 ,
S . Ft. of First Floor:
Utilities: FISew6t E] Septic : , Building'He'ight:-.' - -
I
OWNER/LESSEE;
CONTRACTOR• _I
Name Randy Erickson
NaJames J-Wauters
ame:
Address: 7901 Winter Garden Pkwy
Company: Just Chillin' HVAC LLC r
City: Fort Pierce State:_ FL
Address: 5422 NW Cromey St
Zip Code: 34951 Fax:
City: Port St. Lucie State: FL
Phone No. "''1�2^ 252 -Hl0(a
Zip Code: 34986 Fax:
E-Mail:
Phone No. 772-940-4373
Fill in fee simple Title Holder on next page (if different,,,
E-Mail: justcfiillinair@Fiotmail.com
'from the Owner listed above)
State or County License: 26326
IT value ur construction Is :;Pcouu or more, a KewKULO Notice or commencement is required.
`SUPPLEMENTAL'CONSTRUCTIO`N LIEN LAW
INFO RM,ATION:'
• .5y
DESIGNER/ENGINEER: - _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
Zip: ' ' Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:"
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:'.
Zip: Phone:
Zip: Phone:
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 m' ay•restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed foranyrestrictions 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
cnmmencine work or reenrding vnur Nntire'nf Cnmmenrement_ - - - -- . -
Sign ture of.OwAer/ Agent/ Lessee
Signature of" nt�actor/Lice'nse_Holder
STATE OF FLORIDA (�� G\
COUNTY OF
STATE OF FLORIDA
C-�
�
COUNTY OF
Thef4.rgging instrum nt was acknowledged before me
this day of 20 14 by • �
The r in instrume t was acknowledged, before me
this day of j 20� by
�-
may,
..
(Name of person ackno edging) -
(Na a of person acknowledging),
1
(Signature of.Nota •Public- State of Florida) _
(Signature of Not I tate f Florida) =
e sonally KnowriOR Pr 1iak3 i0i0 &YRificat'io
Y COMr SSION # EE 083530
%iwy p,
Personally Known •*URrE3r U11Id'bhtific t on1`
u J J # , -r n ,i
Type to u[edEXPi b3.%
pe of tderrtrfira tpr-Rr eH
of Identifica ib�j F.e:
%�,� Sonde "F""e,
rh o?• gpnded Thru Notary Public Underwriters
Commission No. ``°^....................`�`
hN Nota
_ .. ... ry a�61ic
Commission No.
. �,�--
Revised 07/8/2014
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