HomeMy WebLinkAboutBuilding Permit Application Feb 10 16 02:42p Mr.Cool Air Conditioning 772-286-6160 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `(o O q
y - RECEP'TD FEB 10 2011
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 _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line A lc
PROPOSED IMPROVEMENT LOCATION:
Address: 10'70 1 S OCEAN D& LOT (1)90 aF_%5EN '6CE. EL 3,4351Z
Legal Description: \1ENT I_RIr OIU-- 8 F-CTIQNC.- LOT R{ COR 31. '3-23 t
Property Tax ID#: 4511-1905-0081- 000 - Lot No. �>
Site Plan Name: _LA PI RROS Block No.
Project Name: 1%
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RF.MOYF- * REPLACE EX1STlN G AIR ED4DI710191N& E&WPMENT I oR
SAME. NO DLLCTWORK. GRANDAIRE. 2 %i Tota, 14 SEER PACKAGE. LLNIT
WITH IQ KW 1rLEC"CCZ1C 1Efl�. APRT
CONSTRUCTION INFORMATION:
Ac1clitional work toe performed under tispermit-check all that appy:
®HVAC Gas Tank OGas Piping Shutters I__1 Windows/Doors
Electric 0 Plumbing ❑Sprinklers a Generator a Roof
Total Sq. Ft of Construction: '703 S Ft.of First Floor:
Cost of Construction:$ O . O Utilities:ESewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GEORr,-1- I PAMELA LAMBROS Name:-THOMA5 F. AYERS ICAROL 1J. POO
Address: 5454 SW QLAAIL NOWDW ST. Company: MR. COOL Air LLC-
City:
LCCity:_PALM C," State:FL Address: 4-351 SE DIXIE ROSS ST:
Zip Code: 344OtR0 Fax: \ _ City: SIM 91 State:EL
Phone No. 77z- 'U&0-0722 Zip Code: �4'gCJ7 Fax:7172- 2%16-1¢1 GO
E-Mail: Phone No. `772- Ula-2164-
Fill in fee simple Title Holder on next page(if different E-Mail: D Do'[LCQY'@ L'oV1'1C0.51.YtQ
from the Owner listed above) State or County License: 2458 A
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
Feb 1016 02:42p Mr,Cool Air Conditioning 772-286-6160 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Add ress:
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 priorto 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.
Lane- _ 14cck S
_Signature of Owner/Lessee Agen Signature of Contractor/UcZFnse Rolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Mc,(--h n COUNTY OF (Y\O,rh'A
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this `L_7 day of `5cin uarq 20 k�p by this 2'7 day of�i tr 20 LP by
Cauly. Poolon�asirQ,ti3
(Name of person acknowledging) (Name of person acknowledging)
(Signature oftlotary Public-State of Florida) (Signature of No Public-State of Florida}
Personally Known OR Produced Identification X// Personally Known OR Produced Identification V
Type of Identificat ski Type of Identification Produced X_)r L c.&y^s-e
�►f1 A''% KA RY BOTTERN
Commission No. -* a Commission No, """''�. k�jgl� BOTTERN
otary Pu � I$ute of Florida
Commission FF 948940 a $� _�_� 5 Notary public•State of Florida
' F 14$141
Revised 07115 ot.��:°'� My Comm.Expires Jan 19.2020
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