HomeMy WebLinkAboutBuilding Permit Application 1012612015 12:58 (FAH) P.0011003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: /�
/J "0 ��0
RECEIVE®
61 Building Permit Application 'OCT 2 6 2015
Planning and DevelopmentSeevices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
..Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXXX
PERMIT APPLICATION FOR: Mebhenical
PROPOSED.I•MPROVEMENT LOCATION:
Address: 13 Lake Vista Trail#105 Port St Lucie 34952•
Legal Description: Vista St Lucie Bldg 13 Unit 105
Property Tax ID#: 3422-500-0173-000-3 ' Lot No.
Site Plan Name: Block No. 105
Project Name:
Setbacks Front Back: Right Side; Left Side:
DETAILED DESCRIPTION OF WORK:
HVAC change out onlyRUUD 2ton unit 5kw /Y
CONSTRUCTION INFORMATION:
A.Ciditionalworl(tolffrOfffiedUnclert4is permit—check all appy:
✓HVAC Gas Tank ❑Gas Piping _Shutters 1__.L Windows/Doors
'Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 2574Utilities.L-...I Sewer Septic Building Height;
OWNER%LtSSEE: CONTRACTOR:
Name Bob Kantor Name: Scott Camire
Address;831 SE Seahouse Dr Company; AC Advantage Inc
City: Port St Lucie State:Fl Address: 1926 SW Biltmore St
Zip Code: 34983 Fax: City: Port St Lucie State:FI
Phone No.772-529-7847 Zip Code: 34984 Fax: 772-338-7566
E-Mail: Phone No. 772-$38-7388
Fill In fee simple Title Holder on next page(if different E-Mail: osr@acadvantageinc.com.
from the Owner listed above) State or County License: CMC1249807
If value of construction is$2500 or more,2 RECORDED Notice of Commencement is required.
1012612015 12:59 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:
certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie Count makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with an applicable Home Owners Association rules,bylaws or'an covenants that may restrict or prohibit such
structure.Please consult wl th your Home Owners Association and review your deed for any restrictions which may apply.
In consideratlon 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 An endments.
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 t first Inspection. If you intend to obtain financing,con ult with lender or an attorney before
comma in work Qr rpqording your Notice of Commencement
s
g'ature of 0 ner/Lessee/Agent Si nat re of Co tractor License Holder
.STATE OF FLORIDA STATE OF FLORIDA, "
COUNTY OF COUNTY OF 3t- LAALJtA.
The forgoing Instrument was acknowledgeo0ore me• The forgoing Instrument was acknowledged before me
thls•74o..day of ' CDC-A- 20 l y this 7,� day of CXR- .201,E,,by
C:;�L It, acoitCamtra.
(Name of person ackno dging) (Name of person ac n wledging)
Zgna
ure of Notary bila State of Florida) Sig ature of No ary Public-State of Florida)
Mina
Known OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identificaatiion Produced Type of Identification Produced
Commission No.i ^(-1 ~�'"�Z (Seal) Commission No. FF172262 11
Janie Perna Janus
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA
Revised 07/15/2014 Cam►FFITM2 Ca MO FF11=
Earplrns 028/201 B
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 3