HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —2— — Permit Number:
o. 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6625 NUEVO LAGOS
Legal Description: SPANISH LAKES FAIRWAYS BLK 41 LOT 10
Property Tax ID #: 1306-500-0112-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Residential yes
LIKE FOR LIKE REPLACE AIR CONDITIONING UNIT. 14 SEER 8 KW HEATER
Lot No.
Block No.
CONSTRUCTION INFORMATION:
trona worK to De oertormed under tispermit-check all h appy:
HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction:.
Cost of Construction: $ 3500
Sal —F—t.� of First Floor:
Utilities:cnSewer Septic Building Height:
OWNER/LESSEE: Horace A Allen
CONTRACTOR:A/C DOCTORS INC
Name Horace A Allen
Name: A/C DOCTORS INC
Address: 6625 Nuevo Lagos
Company: A/C DOCTORS INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 7723443944
Address: PO BOX 1527
City: JENSEN BEACH State: FL
Zip Code: 34958 Fax: 7726075700
Phone No. 7723443944
E -Mail:
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 thepermit 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 po5t9d on the jobsite
before the first inspe . If yQ u intend to obtain financing, consult with lender ora orney before
commencinia wmrk r rdK4vour Notice of Commencement. /
STATE OF FSTATE OF COUNTY OF ORI (�rL %� COUNTY OF FLORIDA yt/j r�n
Th opo(�g instrunwfA-was acknowledged before me
thi Olay of �� C.C. n P __T1
1
Name of person acknowledge ) ^
Personally Known _
Type of Identification
Commission No. I' I -
Revised 07/15/2014
OR
TINAM,cmli LI
)tary Pudic, Slate of
Commisslont FF 97
The oro g instru'; as acknowledg before me
the_ day of V `-C r% . 20 � by
of person acknowledging
of Notary Pubo- State of Florida j
Personally Known OR
lwa"f Identification Produce(
No. r ��
s
TINA M. CICIR
)tary Pudic, State
CommissioMf FF
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS