HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Permit Number:
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Building Permit ApplicaMAY. 7 3 �09�
tion :
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL'
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResidentialX
PERMIT APPLICATION FOR:
Mechanical
PROP,OSED'IfVIPROVEME(VT.LOCATIO'N
Address:,117 N Naranja Ave Port:St..Lucie, FL 34983.
Legal Description:
3419-530-0208-000-1 -
Property T ax ID#.. . Lot No.
p
Site Plan Name: Block No.
Project Name: ..
Setbacks Front Back: Rig g ht Side:, Left Side:
77, , . .
DETAILED DESCRIPTION..OF WORK
Changeout of a 5 ton split system with 10 kw electric heat. 14 SEER. like for like
CONS ,RUCTION 1'N:FORMATION 3
r
Additional wor to b
(ene{ orme under this permit—check a appy:
Z✓ HVAC L_1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing 'Sprinklers'- 1:1 Generator D.Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3880'_ Utilities:Sewer Septic Building Height: .. .
OWNER%LESSEE CONTRACTOR:
Name Jay Murray Name: James J Wauters
a e:
117 N aran a AveJ Chillin HV C LLC
N e Just A
' Address. 1 � Company.
City: Port St. Lucie State:FL Address: 5422,NW Cromey St
Zip Code: 34983 Fax: City: Port St. Lucie State:FL
Phone No.305-439-7463 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill in fee simple Title,Holder on next page(if different . E-Maii:'jUstchillihair@h6triiail.com
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: 'tip : Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY:.. _Not.Applicable
Name: Name:
Address: Address:
City: - City:
Zip: Phone: Zip: Phone:
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 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.
Sig ature of.0 ner/Agent/Lessee. Signature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of. Nti 20 4D by this c'a day of_ 20_4by '
(Na?He of person acknowledging) ( me of person acknowledg' )
Al . k V, ��. �' , 1�
(Signa ure of Notary Public-State of Florida) (Signature of Notary P blit-State of Florida)
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Produced 1'[, �.( Type of Identification Produced
Commission No. (SeafAREN S. NIELS PCo ission No'�
�tiFnY �8�('±. .
¢-
Commission## FF 115 37 ...`a°;�• KAREN S. NIELSEN
= My Commission Expi es
_ - Commission H FF 11
June 1 2.=0 My Commission Ex
pires
Revised 07/15/2014 I— ;, June 12, 2018
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