HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
November 05,2015 O�31I
Date: Permit Number:
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 IMPROVEMENT'LOCATION:
Address: 854 SE Sandia Drive Port St Lucie FI 34983
Legal Description: RIVER PARK-UNIT 7-BLK 66 LOT 5 (MAP 34/28S)(OR 3595-2850)
Property Tax ID#: 3419-550-0056-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:_
Install A New Trane 2.5 Ton 15.25 SEER Condenser and Air Handier With 08 KW Heat Like for Like
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a apply:
Z✓ HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors
F]Electric 0 Plumbing Sprinklers a Generator EIRoof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,575 Utilities:Sewer Eleptic Building Height:
OWNERAESSEE: .CONTRACTOR:
Name Linda Lesperance Name: David Poling
Address:854 SE Sandia Dr Company: All Star Air Inc
City: Port St Lucie State:FL Address: PO Box 881634
Zip Code: 34983 Fax: City: Port St Lucie State:FL
Phone No.(772)475-1251 Zip Code: 34988 Fax: 772-878-0325
E-Mail: Phone No. 772-878-0425
Fill in fee simple Title Holder on next page(if different E-Mail: Allstarair@yahoo.com
from the Owner listed above) State or County License: State CAC1816883 County(26958)
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTIOWLIEN 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.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 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.
7
s
_Signature of Owner/Lessee/Agent Signature %rllicense Holder
STATE OF FLORIDA STATE OF FLO
COUNTY OF COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of , 20 by this 5th day of November___,20 15 by
David Poling
(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 OR Produced Identification
Type of Identification Produced Type of Identification
o �;: NICHOLAS J ALBERS
Commission No. (Seal) Commission No. •= Y COMN#FF916245
••�,�, EXPIRES September 29,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
COMPLETE
INITIALS