HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
I-
I ITM R Ire F. I 0=1
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 x
Address.
, 8525 Belfry Place
Legal Description: POD 28 @ the Reswerve lot 49 (or book 3667-2353)
Property Tax ID #: 3327-701-0052-000-4
Site Plan Name: NA
Project Name: AC change out like for like
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out AC system with Like for like 4Ton With 10kw 14 SEER RHUUD
GOND RA1448AJlNA
Air Hand RH1P4821STANJA
Lot No. 49
Block No.
AClaitionaiwork topepertormecl under this permit– check all that apply:
®HVAC u Gas Tank E]Gas Piping_Shutters Windows/Doors
FlElectric Plumbing OSprinklers IGenerator F]Roof
Total Sq. Ft of Construction: S Ft of First Floor:
- < 2450 In I
Cost of Construction, , Utilities. — Sewer I — Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Michael Mangru
Name: Kenneth Waters
Address: 8525 Belfry PL
Company: Kenneth Waters Htg and Air
City: Fort Pierce State:fl
Zip Code: 34982 Fax:
Phone No.
Address: 5500 Buchanan DR
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-370-1776
E -Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E -Mail: Kenwaters@live.com
State or County License: 4907
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 pians, 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, wails, 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 vour Notice of Commencement. -
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 1 20 _by
(Name of person acknowledging)
of
iTATE OF •• :
• •
The forgoing instrument was acknowledged before me
this IE; day of , 20 J� by
"Cktity-s
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) I (Sign ure of otaryyPublic- State of Florida
Personally Known OR Produced Identification Personally Known _'�, OR Produced Identification _
Type of Identification Produced Type of Identification Produced
MELISSA REUTHER
Commission No. (Seal) Commission No. ommi 918672
q`
Expires February 12, 2019
^'�: �..t4.g�,• B. -4W Thru Tray Fain Insurance 38'-7019
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I LILL -
DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name-
Address: Address:
City: State: City: State:
Zip: Phone: Zip: 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 Assoaation 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,l 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,wails,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. _
Al 14
s
_Sig ature of Owner/Lessee/Agent Sigriature of Contractor U&enge Holder
STATE OF FLORIDA '� STATE OF FLORIDA
COUNTY OF ��1�_ COUNTY OF S-ac• l_UCCNAP-.
The fog ing instru"entwasknledgeeforeme The forgoing instrument was acknowledged before me
this day of20 by this IS day of .JXAPVe ,20 J%4 by
(Name of person acknowledging) (Name of person acknowledging)
l�
(Si _fie to Public-State of Florida) (Sign ure of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
y a uced Type of Identification Produced
::: ,,•�•,, MEUSSAREMER
Commission Q;��`ParP`A�' ANGELA M( Commission No. Commiss( 1ff918672
'.* . g �➢-Publlc-State of Flor(da �mF�W'Z�9
:9
Pc Commission#FF emOsdThmTiv/Fmlouamr� 9
°F«° ' In Expires May 27,2019
Bonded through National Notal
Revised 07/15/201-4,�s:� y as
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALs