HomeMy WebLinkAboutBuilding Permit Application 0211712016 14:44 (FAX) P.0011002
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-17-16 Permit Number:
Building Permit Application
Planning and Development Services
Bullding and Code Regultitlon Division
2300 Virginlo Avenue,Fort P'Wce•FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential C
PERMIT APPLICATION FOR: r ��
PROPOSED IMPROVEMENT LOCATION:
Address: 161 NE Caprona Ave
Legal Description: River Park-Unit 4131k 40 Lot 11 (Map34/28N)(OR 391-1571)
Property Tax ID#: 3419-530-0233-000-5 Lot No.11
Site Plan Name: Block No. 40
Project Name:
Setbacks ' Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
MVAC change out only 10kw heat kit
S �
CONSTRUCTION INFORMATION:
ona wor o e e orme under s perm —check a appy:
HVAC []Gas Tank. ' OGas Piping . ' _Shutters. 'EjWlndows/Doors.
[ lectrlc E-1 Plumbing ElSprinkiers." ❑Generator: El Roof
Total Sq. Ft of Construction: S . Ft.of First-Floor:.
Cost of Construction:$ 4286:00 Utilities Sewer 1JSepticBuilding Height:
OWN ER/LESSEE: CONTRACTOR:
Name James 8 Susan Short Name: Scott Camirs.
Address;161 NE Caprona Ave Company: AC Advantage Inc
arty: Port St Lucie State:Fl Address: 1926 SW Biltmore St
Zip Code: 34983 Fax: City: Port St Lucie State:FI
Phone No.772-201-5452 Zip Code: 34984 Fax: 772-336-7566.
E-Mail: Phone No, 772-3$6-7366
Fill in fee simple Title Holder on next page(if different E-Mail: csr@acadvantageinc.com
from the Owner listed above) State or County License: CMC1249807
If value of construction Is$2$00 or more,a RECORDED Notice of Commencement,ls required.
0211712016 14:44 dR} P.0021002
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 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 thepermit 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 Nome 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 Iri your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the fi st Inspection. If you intend to obtain financing,consul ith lender or an attorney before
commenci work or recordingour Notice of Commencement.
�--�- s
TSigna re of Owner/Lessee/Agent 51gn lure of'Contractor License iio der
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY O F st we.e COUNTY-OF shade
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this�'l day of d ' 20 Eby this\�'day of. F<n-4D_ 20 I(4 by
Scott Camtn Scott camtre
(Name of person ackno ing). (Name of person aaknowledgl`ng)
ignatu of Notary POlic-State of Florida)' (Snature of Notary Publi State of Florida.)
Personally Known OR Produced Identification Persona ly Known xxx OR Produced Identification
-Type of identification Produced Type of Identification Produced.
Commission No. FFlYZ262 (seal) Commission No. FFt122a2 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS