HomeMy WebLinkAboutSUBMITTED PAPERSf/.
All APPLICABLE I FO MUST BE COMPLEi FOR APPLICATION T_o BE ACCEPTED
Date: q o0J7
Permit Number:
SCANNED
BY
St. Lucie;C-OUnty
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
PERMIT APPLICATION FOR:
Address: ��6� �jr/% ,G�"� e� ��� • '
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Mechanical
unaer
_ Gas Tank
Left Side:
— check all that apply:
_ Gas.Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7:—
Name fly GU ZQ/70E
Address:"
Zip -Code: Fax:
Phone No.
E-Mail:
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
(17
State: f_z
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Lot No._
Block No.
Windows/Doors
Roof 1. 7
Building Height:
Name:; -a : ;:.&Lf.ti5 Si w.rnorl S
Corr pan`y'`'��i'u`s`T��wt K SfeMS )AIC,
Address:. •.,% ' fs,,,
City: Vo2-c ST L ke tc State: •FL.
Zip Code: 34 2,Sb Fax: q7a J 35 ) U R
Phone No. 772 33�j -• 3 Q3 L
E-Mail: CttSt,Ir Su � (P Coo ) •C.om
State or County License: CAC 05 I,8JD -
If value of construction is2.56'Tor more, a RECORDED Notice of Commencement is required.
i
low
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: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
commencing work or regording your Notice of Commencement.
Signature of Owner/ Agent/ Lessee
Signature of Contracto /Liceffse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S`z'
COUNTY OF ,2Z!//���',
The forgoing instrument was acknowledged before me
this o-V day of 20ZZ by
The forgoing instrument was acknowledged before me
this day
_,QZ of sg4z 20,Z,- by
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of NotaryPublic- e. of Florida)
(Signature of Notary Public- S e of Florida )
Personally Known �
OR Produced Identification
Personally KnownyblOR Produced Identification
Type of Identification Produced as Y Pe
Type of Identification Produced
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ev. 7/203.4
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
Phone:(772)462-2172 Fax:(772)462.6443
Inspection Card
Permit # : 1409-0011
Online address:
http:/Avww.stlucieco.org/planning/permitfing.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit# SLC-1409-0011 Confirmation 238 Status ISS
M
Issued: 9/3/2014 Type: MECHANICAL/HVAC RESIDENTIAL -
REPLACEMENT SYSTEM
Job Location: 7666 Greenbrier Cir City: Port St Lucie
Jurisdiction: ST LUCIE COUNTY Parcel: 3322-700-0046-000/1
Subdivision: Lot: 41 Block:
Flood: X Elev: Flood Map: 275F
Set backs: Left: Right: Front: Rear:
Job Description: Changeout Like For Like 5Ton, 13Seer, 10Kw System
Contractor Curtis A Sammons -- Cert # 9776 Custom Air Systems Inc
1615 Se Village Green Dr Port St Lucie, FL 34952
. \ SUB -PERMITS
Permit No Status Permit Type Cert # DBA
(772) 335-3232
Owner/Builder
For the automated inspection system call (866) 284-1280. To schedule an inspection online go to
http://codeinspectionpublic.stiucleco.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 Sched. Date Res Description Inspector Insp. Date
1409-0011 380 MECHANICAL FINAL 1
1409-0011 999 FINAL INSPECTION 1
Total Inspections: 2
Report prepared on 9/3/2014 8:04:31 AM'
- - BUILDING PERMIT
Online address: http://www.stlucieco.grg/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
Phone: (772)462-1553 Fax: (772)462-1578
Permit #: SLC 1409-0011 Confirmation #: 238 Issued: 9/3/2014
Job Location: 7666 GREENBRIER CIR City: PORT ST LUCIE
Permit Type: MECHANICAL/HVAC RESIDENTIAL- Status: ISS Date Expired: 03/03/2015
REPLACEMENT SYSTEM
Job Description: CHANGEOUT LIKE FOR LIKE 5TON, 13SEER, 10KW SYSTEM
Subdiv:
Lot: 41
Setbacks Left:
Number of Units: 1
Flood Map:
Block:
Right:
Floors: 1
Flood Zone: X
Parcel: 3322-700-0046-000/1
Front: Rear: Zoning: PUD
Elev:
Buildings: 1 Square Footage:
Contractor CURTIS A SAMMONS CUSTOM AIR SYSTEMS INC (772) 335-3232
1615 SE VILLAGE GREEN DR PORT ST LUCIE, FL 34952
Property Owner H LUGTENBERG BEHEER BV (772) 828-9455
7666 Grenbriar Cir Port St Lucie, FL 34986
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 Devleoopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved party by filing 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 Code 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
Building Official
Date
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
111
Receipt
Online address: hftp:/Awm.stlucieco.org/planning/permitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Daily Inspector Schedule
Date: September 02, 2014
Receipt #: 0000101458
Permit Number: 1409-0011
Job Address: 7666 GREENBRIER CIR
Amount: $84.00
Paid With: CHECK
Check # 3869
Paid By: CUSTOM AIR SYSTEM
Received By: ingraml
Fee Description Fee Amount
NBPSur934 N-BP Surcharge - Permi708/709 - HVAC (new sys)(1 &2 Fam Resid) $2.00
NBPTru993 N-BP Trust Surcharge - Permi708/709 - HVAC (new Sys)(1 &2 Fam $2.00
Res)
NPermi709 N-Permit Fee - HVAC - (replacement sys)(1 &2 fam resid) $75.00
NBIMS651 N-BP BIMS $5.00
Total: $84.00
9/3/2014 8:04:29 AM