HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' ���• Permit Number:
• y RECEIVED
Building Permit Application 21
Planning and Development Services . JUL 2015 .
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 ' COI'11n1erCial ReSidentia:l XXXX.
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
-Address: 322 SE Tranquilla Ave
Legal Description: River Park-Unit 4 BLK 38 LOT 22 (MAP 34/28N)(OR 3752-1976,1980).
Property Tax ID#: 3419-530-0173-000-6 Lot No.22
Site Plan Name:. Block No. 38
Project Name:
Setbacks- Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .
AC change out only - 4 ton 16 seer. 10kw
CONSTRUCTION INFORMATION:
Adclitional.workto be nertorme'd un er t is permit checkall. appy.:
❑✓_HVAC .Gas Tank Gas.Piping Shutters. Windows/Doors
Electric D PlumbingSprinklers . . Generator Roof
Total Sq. Ft..of Construction: S . Ft.'of First Eloor: -
Cost`of Constra.ctidi:$ 4483.00 Utilities:Sewer DSeptic Building Height:
OW R/LESSEE: CONTRACTOR:
Name �. /. 'Name: Scott Camire
Addr d 3 Z�2. Company: AC Advantage Inc
City: State: Address: 1926 SW Biltmore St
Zip Code: Fax: City: PSLucie State:FI
Phone No. Zip Code: 34983 Fax: 772-336-7566
E-Mail: Phone No. 772-336-7566
Fill in fee simple Title Holder on next page(if different E-Mail: csr@acadvantageinc.com
from the Owner listed above) State or County License: CMC 1249807/SLC 25782
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
0712212015 09:57 TAX) P.0011001
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENG iNEER. _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 rep resentatlon that is granting a permit will authorize the permit'holder to build the subject structure
which is in conflict with awy pplicable Home Owners Association rules,bylaws or and covenants that may re pct or prohibit such
structure.Please consult wit i your Home Owners Association and review your deed for any restrictli whic may apply.
In consld'eration of the granting of this requested permit,I do hereby agree that I wlll,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
commenciniz work or recording our Notice of Com mencement.
Z4 s
gnature of f6wnerl Lessee/Agent ` ign Lure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF :5;1 - COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l7 day of 20 1 S by this " day of J01y .20 by
Scott cefnUe
(Name of persorl acknowl ng) (Name of person ac`'k.nowled ng
(Sign re of Notary PuWoState of Florida) Slgnatur of.Notary Publl -State of Florida)
Personally Known V: OR Produced identification Personally Known xm OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. l�i���� (Seal) Commission No, 16 (Seal)
Jamie P$= NrffAftV
JemN Pam
Revised 07/15/2014 STATE OF FLORIDASTATE OF FLORICA
ComnW FF172M . OmNl t FF1r,=
ram
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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