HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/09/2016 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 xx
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 8296 Redcedar PI. PORT SAINT LUCIE, Florida 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 61 (OR 2892-121)
Property Tax ID #: 3426-703-0075-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
REPLACE AIR CONDITIONING EQUIPMENT. 5 KW
4 -To AJ L4 Vw- L4, s�C/
CONSTRUCTION INFORMATION:
Aoditional work to be rformed under this permit —check a appy: r
HVAC Gas Tank Das PipingShutters Windows/Doors
_ L
11 Electric Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2499.00
SFt. of First Floor:
Utilities:Sewer[]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JANET HEREDIA
Name: A/C DOCTORS INC
Address: 8296 RED CEDER PL
Company:
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 7725392094
Address: POBOX 1527
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 7723443944
E -Mail: jheredia827@hotmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ACDOCTORSINC@GMAIL.COM
State or County License: CAC058461
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 recqrceand posted on the jobsite
before the first inspection Jf-yoq intend to obtain financing, consult wi end r or an attorney before
_ SYgnature of 0viriFr/ Lessee/Agent signfere or Lontractoryucense noiaer
STATE OF FLORIDA. STATE OF FLORIDA
COUNTY OF lTr fin COUNTY OF M-fx ori
Thoing instr►�r�1 t was acknowledge before me
this day of l—1 20 l by
G.V i A �-M SQ.
person
Personally Known OR Pro�CdDL_ Identification
Type of Identification Produced
Commission NorW 1%3 -`lo (Seal)
Revised 07/ 15/2014 I I N P blit, stare of Florida
ComirLmioM FF 182467
REVIEWS
The for ping instrument was acknowledged before me
this day of rn 20 L�. by
Lb", D MAA, . -E
(Name of person ac ow dging )
of Notary Rubilicj Sfate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
of Flodda
My comm. expires Mar. 4,
COUO TER ROEVI W I S REVIEWOR I REVIEW V EVI WON S
REVIEW LE I M EVIEWVE