HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y� II
Date: 718115 l�'� `( ^f5 Permit Number: _0 z 6
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: To Select from dropbox, click arrow at the end of line
PRQP05ED IMPROVEMENT I:OCAT,I ..,.
Address: 2 LAKE VISTA TRL#101
Legal Description: VISTA ST LUCIE
Property Tax ID#: 3422-500-0015-000-8 Lot No.
Site Plan Name: DAVID INGANGI Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
10
DETAILED DESCRIPTIOtN OF WORKr, a
A/C CHANGE OUT OF A RUUD 2 TON SEER 14. �1>�
CONSTRUCTIO INFORMATION _
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Additional work to be nertormed under!his permit—c ec a appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
11Electric ❑ Plumbing Sprinklers ❑Generator 1:1 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 2900 Utilities:Sewer Septic Building Height:
ODUNER/LESSEE CONTRACTOR
Name DAVID INGANGI Name: THOMAS A.SMITH
Address:32 HICKS LANE Company: ALL YEAR COOLING &HEATING
City: OLD WESTBURY State:NY Address: 1345 NE 4 AVE
Zip Code: 11568 Fax: City: FORT LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax: 954 667-1290
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: CAC058159
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCfJN5TR' CTION LIEN LAW INFC}RMATIOI �
d+s °a- ,•.a; ..+t -city
I
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 posted on the jobsite
before the first inspection. If you intend to obtain financing, ccipsuitwith lender or ttorney before
commencing work or recording our Notice of Commencem
s
_Signature of Owner/Lessee/Ag t Signature o Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF13ROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 08 day of JULY 20 15 by this 08 day of JULY 20 15 by
DIMITRIUS DANIELS DI DANIELS
( of person acknowledgin ame of rson <no dgin
r
(Signature of Notary Public- ate of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally KnownOR Produced Identification
Type of Identification Prod Type of Identification Produced
IMITRIUS A DANIELS �:,ai�.... D II.lS A DANIEL!
C `5•"oh,19P al Commission No. _:` %..�: ty"Z�
d.i' f• MY Co FF1731 ) .. _•: :•' MY COMM'SSION#FF1731'
1� EXPIRES October 30,2018 `
�r EXPIRES October 30,201
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