HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/20/2016 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)4621-1578 Commercial Residen:tia'l. X
PERMIT APPLICATION FOR: To Select from dropbox, click here
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R01OSED INIP011EIE. 1Tt:0CA `(( N,� x �
Address: 7336 Pinecreek Way, Port St Lucie, FL 34986
Legal Description: 22 36 39 THAT PART OF SEC 22 MPOIN OR 602-1185 AND KNOWN AS PINE CREEK NIUAS.MOG 131 NiT.31(MAP33122N).OR(OR 162'6499)
Property Tax ID#: 3322-233-0033-000-4 Lo. No.,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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@El'AI>wEDDECRIPTIONO� WORK , ' � z � I '.
REPLACE 3 TON SPLIT SYSTEM WITH 8KW HEAT WITH NEW 3 TON LENN;OX SP IT SYSTEM
16 SEER WITH 8 KW HEAT. LIKE.FOR LIKE CHANGE OUT..
°Cf3N5TRUTIO( 'INQR(�/IAThO:N
Acla
itiona wor , o e ertormedd un er „is perms —c ec_a . appy;
HVAC Gas Tank alias Piping. _Shutters Q VtilindowsJ oor5
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: SQ. Ft.of.Firs t'.Floor: 1662
Cost of Construction:$ ``I 00 Utilities: OSewer.Fise.ptic Building Heig t
W�ECONTRAC7`OR �GI�
tiLES EEr '?�9 x Y. 5r r r.,S_J1
Name JOE GANNON Name: ROBERT.HENNIS
Address:7336 PINECREEK WAY Company AIR.CONTROL AC AN[i.REFRIG. ,RATION,LLC
City: PORT ST LUCIE State:FL Address:.5415.SILVER OAK DRIVE
Zip Code: 34986 Fax: City: FORT PIER.CEState:FL
Phone N-0.712-8824846 Zip Code: 34982 Fax.772=4.0.6613
&Mail:N/A Phone No. 772-46.0,-2665.
Fill in fee.simple Title Holder on next page(if different E=Mail:..AIRCONTROLAC@YAHOO CO
from the Owner listed above) State or County License: CAC1815015
If value of construction is$2504 or more,a RECORDED Notice of Conemencement is required.
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�SUPLEMENT�1tCONSTRUCT101V l;E LA11NQMATON.x � ,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not.Applicable
Name: Name:
Address: Address:
City: State: City: —State-
Zip;
Phone: Zip Phone•
FEESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone-
1.certify that no work or installation has commenced prior to the issuance of a pwrnit.
St.Lucie Countyy makes no representation that'is granting,a permit-willauthorize thepermit holder to build these )ect structure
which is.in conflictwith 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.reviewyour deed forany restrictions which ma apply..
in consideration of the granting of.this requested:permit,Ido hereby agree that l'WiN,I.n.all respects,perform the ;,ork
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 reviewr;ro:om additions
accessory structures,swimming pools,fences,walls,signs,screen rooms and acces.soryuses to a.nother'non-reside ntial use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may resultin. payin wice.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
commencin. work or recording our Notice of.Commencement. . .....
''.- ?._ ' TM
_Signature of Owner/Lessee/Agent Signature of Gont'ractor/License:Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF sTLudE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged.bee ore:me
this Z1,'• day of kPJ7_t a 20 IT by this 20TH day of APRIL' 20 !S�.by
WILLIAM PALLADIIQD WILLIAM PALLADINO
(Name of person acknowledging) (Name of person acknowledging).
t,.ti!K.f- aM �-' �.,�'t'.�.�,..._.�. Wit°-•.�'':.-.�...;..�--.
(Signature of Notary Public-.State of Florida:) (Signature of:Notary Public-State:of Florida):
.PersonallyKnown.X OR Produced Identification Personally Known x OR Produced.1denti fication.
Type of Identification Produced a'Y Pty �,,. 1 _. .Type of Identification Progy4edwum
.
MYCOMMISSIONiIEE2011516 EE oars wcoM1d1881�8l�i?0O
Commission No. EE20S516 * * isiem S:June 14;2416 Commission No..�
8mded Thm W.1 Ndri Sv*es � E>iPIAES June 1'4016
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS