HomeMy WebLinkAboutBuilding Permit Application Nov 06 2015 1:41PM. HP Fax page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1116/2015 Permit Number: 512J n
Building Permit Application
Planning and Developmen t Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 3200 N A1A 4209
Legal Description: SEA PALMS UNIT 209 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 315 7)
Property Tax ID#: 1425-600-0015-000-8 Lo No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
MEMO=,
REPLACE 2 TON AIR CONDITIONING SPLIT SYSTEM WITH 5KW HEAT FOR LIKE 5 SEER
AMERICAN STANDARD 2 TON AIR CONDITIONING SPLIT SYSTEM WITH 5KW H T
IS
ona war o e erformea un er t Is permit—chemall
_app y:
HVAC Gas Tank ❑Gas Piping Shutters aWindows D ors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S :Ft.of First Floor:
Cost of Construction:$ 2499.00 Utilities 12 Sewer ElSeptic Building Heig t:
6 �
Name JAAKKO TALVITIE Name: ROBERT HENNIS
Add.ressONNETIE-7 Company: AIR CONTROLAIRCON0M0NING&R9FRIG TION,LLC
City: 60720 TUOMIKYLA State:_ Address: 5415 SILVER OAK DRIVE
Zip Code: Fax: City: FORT PIERCE State:FL
Phone No.772.475-7692 Zip Code: 34982 Fax: 772-460-6613
E-Mail: Phone No. 772-460-2665
Fill in fee simple Title Holder on next page(if different E-Mail: AIRCONTROLAC@YAHOO.COM
from the Owner listed above). State or County license: CAC1815015
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
Nov 06 2015 1:41PM HP Fax page 3
M
DESIGNS ENGINEER: Mot Applicable MORTGAGE COMPANY: N 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 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 d eed for any restrictions which mav 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
commencing work or recording our Notice of Commencement.
S
Signature of Owner/Lessee/Agent Signature of Contractor/License Halder
STATE OF FLORIDA Sl ATE OF FLORIDA
CrOUNTYOFSARdTLUC1E C UNTyOFSAINTLUCIE
The forgoing instrument was acknowledged before me 11 a forgoing instrument was acknowledged be We me
this 40- day of Nogf—mideg , 20 Eby th s �" day of NOVEMBER 20 y
WILLIAMPALLADIt1B WILLIAM PALLADINO
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary` Public-State of Florida} (S gnature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identi!cation
Type of Identification Produced Type of Identification Produced
Commission No.EE208118 (Seal) Commission No. EE23e516 (Se I)
'011411.% Aly ION EE2206516 `. • WUJAM
EXPIIIE$:June 14,201
Revised 07/15/2014 10 arae $MWTlm,W"5P'W EXPIRE&Junrlil, 018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RE EW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS