HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED _
I �
Date: Permit Number: I ��
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:.9524 Shadow Lane,.Fort Pierce,.FL 34951
Legal Description:.Monte Car'Io County Club-Unit Two-Lot 231
Property Tax ID#: 1334-502-0112-000-8 Lot No.
Site Plan Name: Block No.
Project Name: "
Setbacks Front Back: Right Side: left Side:
DETAILED"DESCRFPTION,OF WORK
Changeout of 5 ton heat pump with 10 kw electic heat,like for like
77
CONSTRUCTION INFORMATION
Additional work to be erformed un er t is permit—c ec _a appy:
�✓ HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors,
Electric 0 Plumbing E]Sprinklers a Generator Roof'
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost"of Construction:$.4240 Utilities: Sewer ESeptic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name James Wilk Name: James J Wauters
Address:9524 Shadow Lane ;Company: Just Chillin'HVAC LLC
City: Fort Pierce State:FL Address: 5422 NW Cromey St
Zip Code: 34951 Fax: City: Port St. Lucie State:FL
Phone No.734-915-0787 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940=4373
Fill in.fee simple Title Holder on next page(if different E-Mail:justchillinair@hotmaiLcom
from the owner listed above) State or County License: 26326
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 TITLE HOLDER: _Not Applicable BONDING COMPANY: . _Not Applicable .
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work orinstallation 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.
Signature o Owner/Agent/Lessee Slgnature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA -
COUNTY OF lCOUNTY OF
The f r oing instrumprit was ackn wledged efore me Th r pin m
instrugnr was ackn�wledge fore me.
thisday of 20�j2 by this da.,,of20y
Name o person ackn wledging) (Name o persoh acknowledg' g)
(Signature of tary Public-State of Florida) (Signature of Notaryublic-State of Florida}
Pesonally Known R Produced Identification Personally Known OR Produced Identification
Type of Id ro uced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE, MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED .
DATE
COMPLETED