HomeMy WebLinkAboutBuilding Permit Application JUL-16-2015 10:48 P.02i05
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / �C,� I� Permit Number:
RECEIVED
Building Permit Application JUL 5 2015
Plgnning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)452-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 8722 TOMPSON POINT RD
Legal Description: TOMPSON POINT PUD AT PGA VILLAGE(PB 43-10)I,OT 6(OR 2327-,1482)
Property Tax ID#: 3327-704-0007-000-3 Lot No.
Site Plan Name: Block No.
Project Name: CAMPAGNOLA RESIDENCE
Setbacks Front Back: Right Side: Left Side:
;4
REPLACE EXISTING SYSTEM WITH LENNOX EQUIPMENT
XC25-048 CBX32MV-048 4 TON 20.5 9KW
Aclaitional work toa orme under this permit—Check-all appy:
✓HVAC LJ Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 7449.00 Utilities: Sewer Septic Building Height:
Name LAWRENCE CAMPAGNOLA Name: STEVE SANDERS
Address:8722 TOMPSON POINT Company: STEPHEN K DENNY
City: PORT SAINT LUCIE State:FL Address: 406 COMMERCE WAY
Zip Code:L 34986 Fax: City: JUPITER State:FL
Phone No.772-468-9598 Zip Code: 33458 Fax: 551-745-2581
E-Mail: Phone No. 581-743-9554
Fill in fee simple Title Holder on next page(if different E-Mail: RSANDERS[STEPHENKDENNY,COM
from the owner listed above) State or County License_ CAC 1813800
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
JUL-16-2015 10:48 P.03i05
SURPLEM•ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 represent tion that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicabre 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
Improvem t5 to your property.A Notice of Commencement must be recorded and posted on the jobsite
before t irst inspection. If u intend to obtain financing,consult with lender or an attorney before
cam in wo vour Notice of Commencement,
° s
_Sig ature o e/Agent Signa ure of Con r/License r
STATE OF FLORIDA STATE OF FLOWA
COUNTY OF COUNTY OF t'Atien acoczh
The for Ding instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this I to day of v 20 -L5—by th is day of 20 by
(Na Pers ac wledging) (Name of per
(Signature of Notaryorida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Id tification Personally Known OR Produced Iden
Type of Identification Produced of Identification Produced
Commission No. „r HAL.N DOMING EN DOWNING
.���r �;s 0365 6C0 mission No. C .ir
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EXPIRES;July 21,2017 . t ."= EXPIFi^6:J+.,?y 21,2017
Bandn17h1iNotaryPuelir,V dere y.4
Revised 07/15/2014
REVIEWS FRONS' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS