HomeMy WebLinkAboutBuilding Permit Application Sep 28 2015 3:51 PM HP Fax page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9.28.2015 Permit Number: 5 " 0
RECEI'.'-0 SEP 2 910b
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 x Residential
PERMIT APPLICATION FOR; To Select from dropbox, click arrow at the end of line oec
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Address: 8559 Commerce Centre,Drive, Port St Lucie, FL 34986
Legal Description: PGA COMMERCE CENTRE AT THE RESERVE WATER MANAGEMENT TRACT 1 .405 AC)
(AS PER PLAT DEDICATION DATED 4-21-98)
Property Tax ID##: 3327-708-0001-000-3 Lo No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
MOM
Replace 4 ton split system with 8kw heat for like Goodman 4 ton 14 seer split system ith 8kw heat
No
i lona wor o e e orme unclertnispermit—c ec a appy:
HVAC GasTank E]GasPiping _Shutters Windows/D ors
U
Electric Plumbing ❑Sprinklers Generator ❑Roof
Total Sq. Ft of Construction: Ft.of First Floor:
Cost of Construction:$ 2 mi oo Utilities: Sewer 0Septic Building Heig t:
Name 52i tit ASsaCtcA1a0 h L Name: rT iertnls
Address: 21-16 IV W tomer ve_ f ar%'Tra c 4 Company: Aur Co,,461 .r .a! iLL
City: kg-,T ST 1,0k State:T --- Address: 1 k"3�r
Zip Code: 34174 Fax: N14 City: 71;700: t u State: F�-
Phone No. 7 2 2 7 0ML130 Zip Code: 3w qgt _ Fax: 711- �l Go-tLt 3
E-Mail: /U1,} Phone No. Z.- q L d- Z 66 S
Fill in fee simple Title Holder on next page (if different E-Mail:AX JZ CQ,4J7'Ro .e
from the Owner listed above) State or County License: CA-r— 1 -9115015-
If
$1 l.SIf value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Sep 28 2015 3:51PM HP Fax page 3
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: No 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 thedpermit.holder to build the su Ject structure
which is In conflict with any applicable Home Owners Association rules,bylaws or an 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 6vork
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 recording our Notice of Commencement,
s
_Sia rtu a of Owner/Lessee/Agent Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint Lucie COUNTY OF saint Lade
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z11day of 20 Eby this.26th day of seplember 20 is by
William Palladino 1 William Palladino
(Name of person acknowledging) (Name of person acknowledging)
{Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Ident fication
Type of Identification Produced Type of Identification Produced
Commission No.FE Zog fly (Seal) Commission No.Ci'29:21WLLIAM
WLLPX PA.iADINO +' * 6A1'C0 P 1j=1
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS