HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 3/4/2016 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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 9304 Worl Cup Way, Port St Lucie, FL 34986
Legal Description: POD 20A AT THE RESERVE PUD II CASTLE PINES LOT 3 (MAP33F27S) (OR 1667-336
Property Tax ID #: 3327-801-011-000-2 Lot
No.3
Site Plan Name: Castle Pines Block
No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove 4 ton heat pump split system with 8kw heat. Install Brand New Like 4 ton 15 seer Ruud
heat pump split system with 8kw heat.
CONSTRUCTION INFORMATION:
Additional work to ba er orme under t ispermit — c ec a app y:
HVAC Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
11Electric❑ Plumbing OSprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction: 2380 S . Ft. of First Floor: 1973
Cost of Construction: $ 2399.00 Utilities: l _JSewer Septic Building Heig t:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Miner
Name: Robert Hennis
Address: 9304 World Cup Way
Company: Air Control Air Conditioning & refrigeration, LLC
City: Port St Lucie State:FL
L
Address: 5415 Silver Oak Drive
Zip Code: 34986 Fax:
City: Fort Pierce State: FL
Phone No. 860-463-8599
Zip Code: 34982 Fax: 772-460-66113
E-Mail:NIA
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not
Name:
Address:
City:
Applicable
State:
Zip: Phone:
SEA TURTLE
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not
Name:
Applicable
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
REVIEW
REVIEW
REVIEW
1 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 su ject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrtctl 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 your Notice of Commencement.
s
Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
STATE OF FLORIDA
COUNTY OFstLucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged beore me
this day of 20 _by this 4th day of March 2q by
William Palladino 1 William Palladino
(Name of person acknowledging) (Name of person acknowledging )
L� zz
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Producedt�Rli�
r ;•
. f MY COMMISSION t EE 2WS16
Commission No. EE208516 691f1INS:-lope 14,2016
0lV'pf Or FLS,®e Banded T* WWary $dI*a
Revised 07/15/2014
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Ideni
Type of Identification P,Wked
a° .•••.,MUM
Commission No. EEz • + MYCOMMISSION
PIAES: Jun 4,
re kided TAY BWW
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RATE
COMPLETE
INITIALS