HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 14, 2016 , Permit Number: X���
RECEI�, 7_ ���..D 15 2076
s
Building Permit Application
Planning and,DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential .x
PERMIT APPLICATION FOR: Mechanical
�' v
PROPOSED IMPROVEMENT LOCATION
�,- �s�.>� . . _.. . s
Address: 1206 Country Garden Lane
Legal Description: White City SID 09 36 40
Property Tax ID#. 3403-502-0230-000-8 Lot No.213
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
y,
DETAILED DESCRIPTION
Air conditioning system change— like for like— 3-1/2 Ton 16 SEER 10 KW Heat
r
Additional work toe e orme under this permit-check a appy:
HVAC 11 Gas Tank E]GasPiping _Shutters ❑Windows/Doors
1-1 Electric ❑Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3�0� >C)C� Utilities:cn Sewer Septic Building Height:
OWNER/LESSEEt4 "f,tkts ` t 4 1' CONTRACTOR y `
NameAtrim Investments, LLC Name: Thomas F. Ragonese
Address:P.O. Box 654306 Company: ABBA Air Conditioning Corp.
City: Miami State:FL Address: 1309 White Oak Lane
Zip Code: 33265 Fax: City: Fort Pierce State:FL
Phone No.(305)588-5854 Zip Code: 34982 Fax: 772-489-4484
E-Mail: Phone No. 772-489-4484
Fill in fee simple Title Holder on next page(if different E-Mail: ragoneseabba5@aol.com
from the Owner listed above) State or County License: CAC1817308
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
sd
$UP,;PLEMENTALrCONSTRLICTIO.N LIEN,IAW 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: 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 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.
s
_Sign ture of Owner/Lessee/Agent Signa a of Contractor/License o er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S,�• \-J COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5 day of J01Af- 20\ by this 15 day of k ,20 N6 by
1 v'�s 30 t\est _C�G,,v.R s �- a o-A D,-7-,
(Name of person acknowledging) (Name of person acknowle ging)
(Signature of Notary Pu ic-State of Florida), (Signature of Notary ublic-State of Florida.)
� ANNavatEi'6"wilomd'-��Personally Known Produced g��tPersonally Known OR Pro uced� fieat�'ol��`
Type of Identification Pr+�/y_F c 16 fres Dec 16 Type of Identification,Protgrn d E-1)E1/ypINA GIVENS
# boi r; ��µY PO9%-- Notar Public-sta i �'t°TTQe
mission EE o c y 2016
Com Seat "lational Notary Assn. Commission No. s _ :MY Comrr�. �( s Dec 16,
Commission No. rigid( ) 858761
t;on.• -" Commission EE
h National Notary Assn.
_ c Bonded Throu9 ..�z
unJ cn u.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS