HomeMy WebLinkAboutBuilding Permit Application 1012612015 12:56 P.0011003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: k -Z-o— k Permit Number 1--f11-i"
Planning and Development Services Permit-Appl.1cation
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462,15S3 -Fax:(772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Maichani-cal
PROPOSED IMPROVEMENT LOCATION:
Address: 7983 Plantation Lakes Dr
Legal Description: Reserve Plantation Phase IIA
Property Tax 1D#• 3321-803-0069-000-8 Lot No.55
Site Plan Name- Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AC Change Out only Lennox 19.5seer Ston syste.m. 9kw
CONSTRUCTION INFORMATION:
A0111tional work to be raerformed. under this permit CheCKRJt1l apply:HVAC Gas EGasPiping Shutters ❑Wind6ws/noors
*
IlElectric Plumbing 7Sprinklers- , FIGeneratorF1 Roof
Total Sq.Ft of Constru ction: Sq.'Ft.of First Floor: '
Cost of Construction: 11717 Utilities:F wer Septic Building Height:.
OWNER/LESSEE: CONTRACTOR:
Name Brian&Debra Deering Name: Scott Carinfro
Address:7983 Plantation Lakes Dr Company: AC Advantage Inc
Clty: PSLucle State;FI Address: 1926 SW Biltmore St
Zip Code: 34986 Fax: City: PSLucie State:FI
Phone No. Zip Code: 34984 Fax: 772-336-7566
E-Mail: Phone No, 772-330-7366
Fill in fee simple Title Holder an next page If different E-mail: csrCacadvantageinc.com
from the Owner listed above) State or County License: CMC1249807
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
1012612015 12:56 TAR) P.0021003
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 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 Counttyy makes no representation that Is granting a permit will authorize the $rmit holder to build the subject,,��Ncture
which is(n. onfllct with aHyl Wppllcable Home Owners Association rules,bylaws or an�covenants that may restrict or prohi It such'
structure.Pease consult w t your Home Owners Association and review your deed or 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,co suit with lender or an attorney before
commeicing work or recording our Notice of Commencemerix.
s
_ Ignature of• wner/Lessee/Agent ' S' nature of Contractor tcense Hol er
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF fir' leu caa...e._ COUNTY OF stuoto
The forgoing(nstrunient was acknowledgedk efore me The forgoing instrument was acknowledgedefore me .
thlsZ(o' day of '20�3by this 14? day df. omoa.r 20 ) by
t —
Scott Camtrs
(Name of person.acknowl ing) (Name of person a n wiedging)
( tgnatu a of Notary P lic-State of Florida) (Sign ture of Nqftary Public-State-of Florida)
Personally Known iA, OR Produced Identification Personally Known xxx OR Produced Identiflcatlon
Type of identification Produced Type-of Identification Produced
Commission NoFF k-1-1716> (Seal) Commission (S as Parte
Jwk P Ma NOTARY PURUO
Revised 07/15/2014 $TATE OF FLORIDA ppin 02
.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS •