HomeMy WebLinkAboutBuilding Permit Application 05/24/2016 10:50 7724621578 ST LUCIE CO IMPACT PAGE 02/05
MAY-24-2016 11:54 P.02
ALL APPLICABLEINFOMuSll'BE COMPLETED CE
FOR APPLICATION TO BE ACPTED
Date: '7o'6 Permit Number:
R E C E I'.'r D MAY 2 4 2016
Building Permit Application
Planning and Developmentservires
Building end Code Regulation Dj1 Slan
2300 Vlrglnia Avenue,Port P1e1W FL 349$2
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
IC
PERMIT APPUCATION FOR: Mechanical
i
AddreSS: 2848 EAGLES NEST WAY,PORT SAINT LUC16,FL 34952
i
Legal Description:
Property Tax ID#: U24,702-0149-OM-2
Lot No.30
Site Plan Name: Block Na. 62
Project Name: FORRESTER RESIDENCE
Setbacks Front Back: Right Side: Left Side:
r a ,
REPLACE EXISTING SYSTEM WITH TRANS PKG UNIT
4TCC4048 4 TON 14 SEER 8KW
/,5
Aclaitionalworktonenerrormed under this permix—clIKIC all M appy,
MVAC Gas Tank ❑Gas Pjping _Shutters El Windows/Doors
11Electric11 Plumbing ❑sprinklers 0 Generator 0 Roof
I" Total Sq. Ft of Construction_ SFr of First Floor:
Cost of Construction:$ $5400.00 Utillties:11Sewer OSeptic Building Height: ,
Monne WILUAM FORRESTI:R Nanta: STEVE SAfUDERS
Address:2848 EAGLES NEST WAY _ Company: STEPHEN K DENNY
City PORT SAINT LUCIE State-FL Address: 406 COMMERCE WAY
Zip Code: 34952 Fax: City: JUPITER State:FL
Phone No.772-777-2199 Zip Code: 33458 Fax: 581-746-2591
E-Mail: Phone IVo. 561-743-9854
Fill in fee simple Title Holder on next page(if different E-Mail: RSANDERS@STEPHENKDENNY.COM
from the Owner Ilsted above) State or County License. CAC 1813800
If value of constmctlon is$2500 or more,a RECORDED Notice of Commencement Is required,
05/24/2016 10:50 7724621575 ST LUCIE CO IMPACT PAGE 03/05
MAY-24-2016 11:55 P.03
SUPPLEMENTAL lCDNSTR1750-14057",AW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: . _ Zip' Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address• - _ AddresS•
City: City:
Zip: Phone- Trp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
S .Rx�cia Count makes no representation tha i5 granting a permit will authorize the ermit holder to build the subject� cture
1ch 1s In can Ict with au applicable Home ers Association rules,bylaws or an8covenants that may restrict or pro Iplt such
structure,Please consult your Hama owners Association and review your dead 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,
arxessory structures,swimming pools,fences,Walls,signs,screen rooms and accessory uses to another non-resldential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In vaur 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
commencin work or re in our Notice of Commencement,
Zk— rd-- - — --.J/,
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_Signatureowner/Lease Agent Signature o Contractor cense Holder
STATE OF FLORIDA E42 STATE OF FLORIDA
COUNTY OF COUNTY OF
The�Q mg ins merit was acknowl�edg before me The forgoing inst ment was acknowledgbefore me
Lhls:6day of 20by this day of 20i by
(Name of person ac ng) (Name of person
(5igrlaturx:of N tart'Public-State x �1 I1.Wgp�fiy� (Signature of Notary Public-State of Florida]
Personally Known OR Pt�du 11; Personally Known —OR Produced Ida
Type of Identification Produced Type of Identification Producexl .� +•••. �iy
commission Ndff—mlwl t 0119W05 Commission NOP"All l$ �`'�o • '
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Revised 07/15/2014 r�� -9 n t0'NO\`
6 ATE ��11
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 'I� ofVE
COUNTER REVIEW REVIEW REVIEW REVI$W REVIEW REVIEW
DATE
COMPLETE
INITIALS