HomeMy WebLinkAboutBuilding Permit Application Nov 05 2015 12:31PM HP Fax page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11105/2015 Permit Number: �J b 3
REC Y7.1]l NOV 051015
Building Permit Application
Planning and Development Services
Building and We Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click here w O` lu
Address: 7663 CHARLESTON WAY,PORT ST'LUCIE, FL
Legal Description: RESERVE PLANTATION-PHASE I-LOT 37(OR 2952-441)
Property Tax ID#: 3321-801-0037-000-2 Lot No.37
Site Plan Name: RESERVE PLANTATION Bleck No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
0=10MI I' 0��011
REPLACE LIKE FOR LIKE 2 112 TON AIR CONDITIOING SPLIT SYSTEII A WITH 5K& FOR LIKE 2
112 TON 14 SEER AIR CONDITIONING SPLIT SYSTEM WITH 5 KWI!HEAT
1
i lona wor o e e orme un er Is perms -c ec a appy:
9HVAC Gas Tank FGas Piping _Shutters Windows/Doors
UElectric, O Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: . Ft.of First Floor:
Cost of Construction: $ 2499.00 Utilities: Sewer Septic Building Heig t:
NameJAMES L FRANKS Name: ROBERT HENNIS
Address:332-OAKRIDGE DRIVE Company:AIR CONTROLP61RCON ITIONINGAND REFRIGERATION.LLC
City: VENETIA State:PA Address: 5415 SILVER-O K DRIVE
Zip Code: 15367 Fax: City: FORT PIERCE State:FL
Phone No.412-874-7247 Zip Code: 34982 Fax: 772 0-6613
E-Mail: Phone No. 772-460-2665
Fill in fee simple Title Holder on next page(if different E-Mail:AIRCONTROLAC YAHOO.CO
from the Owner listed above) State or County License: . AC1815015
If value of construction Is$2500 or more,a RECORDED Notice of commencement is requ'red.
Nov 05 2015 12:32PM HP Fax page 3
N I WIN
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMOANY. _N Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable. BONDING COMPANY: —Not;Applicable
Dame: 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 County makes no representation that is granting a permit will authorize thepermit holder to build the s bject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which my 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 Arnendm nts.
The following building permit applications are exempt from undergoing a full concurrency revie :room addition
.accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to a iother non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may resu t in your payin ff twice for
improvements to your property. A Notice of Commencement must be recorded Ind posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender r an attorneV before
commencing work or recording our Notice of Commencement.
�/ s
—Signature of Owner/Lessee/Agent Signature of Contractor/ Iceh a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sTLucie COUNTY OF srLUCE
The for Ding Instru ent was acknowledged be ore me The forgoing instrument was acknowledged before me
this day of ta20 1 by this '7" day of N"Emam 20 bV
WILLIAM PALLADIF6 WILLIAM PALLADINO
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OF Produced identification
Type of Identification Produced Type of Identification Produce
Commission No. EE208516 ��:.,,¢� (S"11NAPAll11DIN0 Commission No. E P (Se I)
*my tOMOSION t M II'A8M1e rt TRANN AtlApryg
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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