HomeMy WebLinkAboutBuilding Permit Application 1012612015 12:53 11•A P.0011003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10'U ''t Permit Number:
Building Permit Application
Planning and Development Services
gullding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(77.2)462-5553 Fax; (772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address; 2916 Eagles Nest Way Port St Lucie 34952
Legal Description: Eagle's Retreat at Savanna Club Phase 2
Property Tax ID#; 3424-702-0136-000-8 Lot*No,17
Site Plan Name: Block No. 62
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
HVAC change out- 3 ton.14 seer Lennox Package unit 101
CONSTRUCTION INFORMATION:.
ACIC11tionalworKtOlDenerformed under tW perm -clecl all appy:
10 HVAC Gas Tank ❑Gas Piping _Shutters 0-windows/Doors
❑Electric ❑Plumbing []Sprinklers' Generator ❑Roof'
Total Sq.Ft of Construction: S .Ft:of First Floor:
Cost of Construction:$ 4750• Utilities:]Sewer Septic Building Height::
-OWNER/LESSEE: CONTRACTOR:
Name Angelina crofts. Name: 3cptt Camire
Address:2916 Eagles Nest Way Company: AC Advantage Inc
City: Port St Lucie State:FI Address: 1926 SW Biltmore St
Zip Code: 34952 Fax: City: Port St Lucie State:FI
Phone No.772-344-9387 Zip Code: 34984 Fax: 772-336-7566
E-Mail: Phone No. 772-336-7366
Fill in fee simple Title Holder on next page(if different E-Mail: csr@acadvantagelnc.eom
from the Owner listed above) State or County License: CMC1249807
if value of construction is$Z500 or more,a RECORDED Notice of Commencement Is required.
1012612015 12:53 TAX) 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 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.Lvcle County make no representation that is granting a�ermit iill autrorize thesermit holcitto build the subject std cture
whlc is In con Ict wit an applicable Home Owners Assoc PZ rues,by aws or an covenantst at may restrict or pro iblt 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
comm6cing work or recording our Notice of Commencemen
S
a ure of dwnerl Lessee/Agent S ature of on ctor License Holder
STATE OF FLORIDA STATE OF FLO IDA
COUNTY OF � � _Q. 1_. COUNTY OF l.e.�•t
The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledgdd before me
thls day of C 20 by this 2(o day of_0CA' .20\S by
1 4 - Y%v L amt camin
(Name of person acknowl ng) (Name of person c no ledging)
(Signatu a of Notary P blit-State of Florida) (Signal re of Not ry Public-State of Florida)
Personally Known �Lo OR Produced Identification Personally Known Xxx OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. `� 2fo� (Seal) Commission No. FF172202 (39*Parte
Jamie Panna NOTARY PLIMIC
Revised 07/15/20(4 STATB OF FLORIDA Czm*FF1=2
Coa0 FF112282 ExplMs 10/2812018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS