HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/03/15 Permit Number: 1 5 C O lz. NPN 4 3
In
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3000 INDIGO BUNTING COURT
Legal Description: EAGLES RETREAT
Property Tax ID#: 3424-701-0074-000-2 Lot No. 11
Site Plan Name: NICHOLAS TOQUE Block No. 57
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF V1%ORK: 3
A/C CHANGE OUT OF A PACKAGE UNIT PAR548 SEER 16 3 TON
CONSTRUCTION ,INFORATION.
Additionalwar..,_: . _ „ M
to be nertormed under this permit—c ec aTI apply:
®HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ �'� 2O D . Utilities:cn Sewer F]Septic Building Height:
OWNER/LESSEE: :;CONTRACTOR:
Name NICHOLAS TOQUE Name: THOMAS A.SMITH
Address:3000 INDIGO BUNTING COURT Company: ALL YEAR COOLING & HEATING
City: PORT ST. LUCIE State:FL Address: 1345 NE 4TH AVE
Zip Code: 34952 Fax: City: FORT LAUDERDALE State:FL
Phone No.606-247-7258 Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page (if different E-Mail: DDANIELS@ALLYEARAC.COM
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPL,E;MENTAL CONSTRUCTLON:LIEN LAW INFORMATION`
nh 3
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:
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 osted on the jobsite
before the first inspection. If you intend to obtain financing, con It with lender an ttorney before
commencing work or recording our Notice of Commencem n .
lJ s
_Signature of Owner/Less gent Signature of Contractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF BRO—RE)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 02 day of JUNE 20 15 by this12 day of JUNE 20 15 by
NICHOLAS T04- THO SMITH
(Na a of person cknowledgin ) (Na )of erson acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
PersonallyIdentification Personally Known 11-1o"OR Produced Identification
Type of Ide1(407)
tiff., r��1 Type of Ident' ' uced
3= °� DIMITRIUS q
MY COMMISSION F 173126 ''° Q BELS
Commissio ( eaFl) Commission ;
October 30,2018 ; of MMISSION#FF173126
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398'0153 Floridallotaryservice.com
Revised 07/15/2014
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