HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I /
Date: 10/27/2015 Permit Number:
S.. J. .1
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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 Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED"IMPROV'EME 'NT LOCATION:
Address: 1484 NW SWEETBAY CIR, PALM CITY, FL 34990
Legal Description: HARBOUR RIDGE-PLAT 9-WEST HAMMOCK VILLAGE UNIT 12 (OR 657-2156 : 1961-2627)
Property Tax ID#: 4426-804-0045-000-5 Lot No.
Site Plan Name: Block No.
Project Name: JANKOVICH RESIDENCE
Setbacks Front Back: Right Side: Left.Side:
DETAILEP IPTION OF WORK
REPLA E [STING SYSTEM WITH LENNOX EQUIPMENT
XC20-048 / CBX32MV-048 / 10 KW i5- 1 U 5e-:e-►-
XC14-018 / CBX27UH-018 / 5 KW ,5 jCY-) 5 2e y-
COIVSTRUCTIO.N:I;NFORMATfON ,
Additional work toe e orme" under t is permit—check a appy:
R✓ HVAC Ei Gas Tank Gas Piping _Shutters Windows Doors
Electric ❑ Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3��✓�i , G�O Utilities. —Sewer E]Septic Building Height:
OWNER/LESS"EE " ;,°CONTRACTOR
Name GEORGE JANKOVICH Name: STEVE SANDERS
Address:1484 SWEETBAY CIR Company:, STEPHEN K. DENNY
City: PALM CITY State:FL Address: 406 COMMERCE WAY
Zip Code: 34990 Fax: City: JUPITER State:FL
Phone No.248-765-0349 Zip Code: 33458 Fax: 561-746-2581
E-Mail: Phone No. 561-743-9554
Fill in fee simple Title Holder on next page(if different E-Mail: RSANDERS@STEPHENKDENNY.COM
from the Owner listed above) State or County License: ACA- 1813800
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLAIIU 1f�Ft?R�VIATIC?N$; a
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not 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 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 Notic f Commencement must be recorded and posted on the jobsite
before the first inspection. If you inte t obtain financing, consult with lender or ttorney before
commencingwork or r ordin our oti a of Commencement.
s
_Signature of Owner/Lessee/Agent Signat re of Contractor ' ense Holder
STATE OF FLORLDA STATE OF FLOMy-)
COUNTY OF b\o-1 COUNTY OFtRA G..C,,
The forgoing instrument was acknowledged before me The forg�'ng instr
his�41ment was acknowledged before me
tay of QC_+C3YWQ� 20 P,-by this ([� day of 201,by
(Name of perso e o person acknowledging)
1
(Signature of Notar ublic-State of Florida) ignature of No Public-State o on a
Personally Known OR Produced Ide ification Personally Known /K OR Produced Id ifica 'on
Type of Identification Produced Type of Identification v.Qdd _
��ti*:}y" iiil-1PN DOWNING
My'COivS 141.x{ F 036576
Commission No. : °-PyA,% I(IstfAIPOWNING Commission No. * x+ `' EXPIRES:A� 1,2017
MY COMMISSION#FF 036576 � ' Bondtd Tnru Notary Pub�b Underwriters
` EXPIRES:July 21,2017 18" - -
qF _1P Dullueu I nru Nolafy ru IIC n envn ers
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS