HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da"-94M 4L A—% 5 Permit Number: VS(3 4 –4316
RECEIVED APR•21201
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
t I.
Address: 119 N Las Olas Drive, Jensen Beach, Florida 34957
Legal Description: BEACH CLUB COLONY-SECTION ON EBEG AT NW COR OF LOT 14•TH N 89 DEG 56 MIN 29 SEC E 50.2 FT,TH$00
DEG 13MiN 07 SEC E 77 FT,7H S a9 DEG 58 MIN 29 SEC W 50.54 FT,TH N 00 DEG 01 MIN 31 SEC W 77 FT TO POB(OR 3299-532:3371-763)
Property Tax ID#: 4511-500-0029-000-5 Lot No.14
Site Plan Name: _ Block No.
Project Name: Eric and Grace Mueek
Setbacks Front Back: Right Side: Left Side:
1=1EM0.
Replace A/C Equipment•Like for Like Change Out
Trane Condenser: 4TTR40241_1 Trane Air Handler:TEM4A01324S21 Heater:5KVV
Tonnage:2 SEER:15 Btuh:24K
AddltionalworKtoneoerTormed unclertnis perms --cneCK all appy:
HVAC Cas Tank E]Gas Piping _Shutters F]Windows/Doors
11 Electric 0 Plumbing OSprinkiers ❑Generator O Roof
Total Sq. R of Construction: 974 S . Ft.of First Floor:
Cost of Construction:$ 5328.00 Utilities: L_I Sewer 0 Septic Building Height:
NameERIC AND GRACE MUECK Name: JOHN H.CRANE, III
Address:119 N LAS OLAS DRIVE Company: KRAUSS&CRANE, INC.
City: JENSEN BEACH State:FL Address: 904 BE DIXIE HWY.
Zip Code: 34957 Fax:N/A City; STUART State:FL
Phone No.519-800-2933 Zip Code: 34994 Fax. 772-283-4055
E-Mail.N/APhone No. 772-287`1227
Fill In fee simple Title Holder on next page(If different E-Mail: SGILMOUR@KCIAC.COM
from the Owner listed above) State or County License: CAC049285
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
DESIGNER/ENGINEER: Not ApplicableMORTGAGE 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:
I certify that no work or Installatlon 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 pasted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinR work or4ecording your Notice of Commencement.
S
_Signature of Owne Lessee/Agent 5i ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF My.-g-in COUNTY OF „ „ M 7
The f rgoing instr ment was acknowledged before me The forgoing-instrument was acknowledged before me
this day of ZO 5::Uy thisZ1 day of 20 L by
r� a "dL
(Name of person acknowledging) (Name of person acknowledging)
(Signat re of Notary u ic-State of Florida) (sign tory Public-State of Florida)
Personally Known OR Pro naIly Kn OR Produced Identification
Type ofldentific i (, uc _ entlflcatlon Produced
, . • My COMMIS N FF100795 Pryrr'
Commission No. �e I Commission No. I4110HEI.��pOM:s•�
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IJES TJ10%23,P-018 1 ;"� MY COMMISSION#FF100795
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Revised 07/15/2014 ..: (aai)IMAM Flats Cft Bervtoe com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS