HomeMy WebLinkAboutBuilding Permit Application PTED
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Da e 8/19/15 PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE PeCmf Number: bs -w&/
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230D Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-157$ Commercial Residential x
PERMIT APPLICATION FOR, To Select from dropbox, click arrow at the end of line
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Address: 138 COMMONWEALTH CT
Legal description: QUEEN'S COVE
Property Tax ID#: 1414-701-0132-000-0 _ Lot No.
Site Plan Name: Block No.
Project Name: DON DONALDSON
Setbacks Front Back: Right Side: Left Side:
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INSTALL!2 TON CARRIER 15.2 SEER SYSTEM WITH 5 KW HEAT
AIRHANDLER FB4CNF030 COND. CA16MA024
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Additional worK to be ertormea unclertnis permit—c e a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S ,Ft_of First Floor:
Cost of Construction:$ 334Q Utilities:3840 Septic Building Height:
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Name
LOON DONALDSON Name; MARK BLACKWELL
Address-138 COMMONWEALTH CT Company: BLACKWELL&SONS A/C
City: FT PIERCE State:rL Address: 317 ST LUCIE LANE
Zip Code: 34949 Fax: City_ RT PIERCE State:FL
Phone No 7722016205 Zip Code: 34946 Fax:
E-Mail: Phone No. 7724611000
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 1816791.
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL 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 TITLE BOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name.• Name:
Address: Address:
City: - - - City-
Zip: Phone:
ity:Zip: Phone: Zip: Phone:
f 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 theermit holder to build the subject structure
which is in Conflict with anxAppiicable Home Owners Association rules,bylaws or andcovenantsthat may restrict or prohibit such
structure.Please consult w 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,consult with lender or an attorney before
commencing work or recordina vour Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �'� L uc•e COUNTY OF �"I L uc;(-,' I
The forgoing instru ent was acknowledged before me The fiorgoing instn ent was acknowledged before me
this�day of 20 Jby this day of zo " by
1
(N e o erso ac kn edging) (Name f personrcwledgin )
FYI
gnatryKnown
Nota Pu ic- tate of Florida) (Signature of Foto u1 to of Florida)
L
Persona OR Produced Identification Personally Know ___.__..OR Produced Identification
'type of Identification Produced Type of I _
vPu�o TFI .)K,AY LAT4QF. � -RAC..3 KAY LA
Commission No. Commiss
1• MY Qp,}I IIgS1QN#FI:14WT2 ION#FF148072
ApIR! 9 Aug
00,2018 &�a� kxP1F1��August ao.2018
a��..i FIflflQ.ri0t8 gaNIaB.OQm (467;398•n ,7 F i
Revised.07l15/20th ' ss
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVI_
COUNTER REVIEW REVIFW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS