HomeMy WebLinkAboutBuilding Permit Application Oct 0515 07:51 p Breathe HealthierA.ir Inc 7727814634 PA
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 0 r Permit Number: 8/9— _0073,
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ECEIVE
Building Permit Applicati
Planning and Developmen t Services OCT / 5 2015
Building and Code Regutation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial ��rtl esidential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 11 Rio Verde Way, Port St.Lucie, FL 34952
Legal Description:
Property Tax ID Lot No. I
Site Plan Name: Block No.
Project Name- Moore
Setbacks Front Back: Right Side: Left Side:
DETAIL-ED:DE.SCRIPTION OF'WORK:
Replace 3 1/2 Ton air conditioning system with like for like system
3 112 Ton 16 SEER with 10 kw heat
14ACX-041 Cond. Unit CBX25UHV-042 ahu
� C'ON.ST-RUCIION..I.NF.ORMATION:
Additional work to be e Orme un er this permit apply:
ZHVAC LJ Gas Tank F]Gas Piping I Shutters Windows/Doors
Electric 0 Plumbing FISprinklers E]Generator Roof
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 3965.00 Utilities:0Sewer E]Septic Building Height:
,.PWNER/LESSEE: -CONTkACT-OR;
Name William and Roberta Moore Name; Ken H. Geary
Address:11 Rio Verde Way Company: Breathe Healthier Air, Inc
City: Port St.Lucie State:FL Address: 3669 SE Salerno Road
Zip Code: 34952 Fax: None city: Stuart State.FL
Phone No.772-87B-0568 Zip Code: 34997 Fax: 772-781-4634
E-Mail: None Phone No, 772-220-8698
Fill in fee simple Title Holder on next page(if different E-Mail: rhonda@breathehealthietair.com
from the Owner listed above) State or County License: CAC035593
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Oct 0515 07:51 p Breathe Healthier Air Inc 7727814634
p.2
SUPKEMENTAL CONSU.UCTION LIEN tAWINFORMATI.OJN:
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:
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,consult with lender or an attorney before
commencing work or recording your-Notice otice of Commencement.
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r Signature of Ow er/Lesse gent ' Sig ature of Contractor icense older
STATE OF FLORIDASTATE OF FLORIDA 4
COUNTYOF ;�� COUNTY OF ��j�
The forgoing instrume t Was acknowledged before me The forgoing inst m nt was acknowledged before me
this day of_Q �`1I — 20 �by this�day of a, 20 �by
G-Qj�Lj 6�=jk�
( m of person a�rnVledgi,*) (Nam"person acknow ing)
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(51grlature of Not Pu4r,-State of Florida} (Sig-natbreof Notary AM a of Florida}
Pers n w ( tification Personally Known OR Produced Identification
Type o .I tifcaticft%
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Com ., ie+ciotl+L�. EXPIRES May 2a.2013 {S al) o��rSS�oN a F82356�7 (Seal)—
"'"' :, EXF+iRES May 2a.201
t:�r�xin��ss s o�n 9
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS