HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BF.coMPLETED OR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-Bulling Permit Application
Planning and oemlopmentServiceS
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential. x
PERMIT APPLICATION,FOR: Mechanical
Address: 1423 NW WINTERS CREEK ROAD PALM CITY, FL 34980
Legal Description: HARBOUR RIDGE-PLAT 13-LIVE OAK VILLAGE TRACT G-12 LOT 1 (OR 2985-2222)
PARCEL ID#:4426-825-0002-000-7
Property Tax ID#: Lot No.
Site Plan Name: ANGELO PIGNATARCi Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
i i 1,1 :mm �
CHANGE OUT (1) LIKE FOR LIKE 2.5 TON CONDENSING UNIT ONLY
_—Witional work toa ar orme under this perms —C eC a appy:
HVAC []GasTank ❑Gas Piping _Shutters Q Windows/boors
Electric 0 Plumbing Sprinklers Generator 0 Roof
Total Sq. Ft of Construction: Sq, Ft.of First Floor:
Cost of Construction:$ 2000.00 Utilities, Sewer Septic Building Height:
11 10111it
01=11 I
Name ANGELO PIGNATARO Name: RICHARD WHITEHEAD
Address:1423 NW WINTERS CREEK RIO_ I Company: COASTAL HEATING AND AIR CONDITIONING
City: PALM CITY tate: FL Address: 7984 SW JACK JAMES DR.
Zip Code: 34990 Fax: City: STUART State: FL
Phone No. 917-440-6959 I Zip Code: 34997 Fax: 7727220-4997
E-Mail: Phone No. 772-288-4829
Fill in fee simple Title Holder on,next page(if different E-Mail: COASTALAC@AOL. COM
from the Owner listed above) State or County License: CAC058137
If value of construction Is$2500 or'more,a RECDR111111l Notice of Commencement is required.
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•DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: ___i Address:
City,- S tate: City: State:
Zip: Phone: Zip. Phone:
FEE SIMPLE TITLE HOLDER: _ ,Not Ap licable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: l zip: Phone:
I certify that no work or installation has comment d prior to the issuance of a permit.
St. Lucie County makes no representation that is gr�nting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owns Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners ssociation and review your deed for any restrictions which may apply.
In consideration of the granting of this requested p rmit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are eye�I pt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wall(,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recordIng your Notice of Commencement.
�fr i J4'R[AI
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_$ignature of Own r/Lessee/Agent Signa ure of Con actorjlltense older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �1� i COUNTY OF
The forgoing instrument vgs acknowledge`Defor me The forgoing Instrument was acknowledged before me
this day of 20 1Y-by this day of t ( ._. zd by
(Name of person acknowledging) (Name.of person acknowledging)
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(Signatu a of taryPublic Stat _R Florida) (Signature of N tary Public tate o lorida)
Personally Known OR Produced Identifica ion Personally Known •L!OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal I Commission No. (Seal)
Notary Public 3 'W or FloridaNotary Pubtic
r N1Y commission E eaeea8 , Maty A Marquis d
Revised 07/15/2014 UP 6W e4ires1Ua2 146 �, �� E0�.a m11�o 6 eassaa
REVIEWS FRONT ZONING SV, PERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS