HomeMy WebLinkAboutBUILDING PERMIT APPLICATION ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8250 MAIDENCANE PL, PORT ST LUCIE, FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 127 (OR 1265-50: 1658-62)
Property Tax ID#: 3426-703-0141-000-5 Lot No.127
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Exact AC Changeout of Lennox 3 Ton 16 Seer Straight Cool System with 9 KW heater.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under t ispermit—check all that appy:
OHVAC Gas Tank 0Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers �'Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cast of Construction:$ Utilities:]Sewer Eheptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Patricia & Robert Noll Name: Donald Myers
Address:8250 Maidencane PI Company: AC Care, LLC
City: Port St Lucie State:FL Address:. 4425 SW Martin Hwy
Zip Code: 34952 Fax: City: Palm City State:FL
Phone No.772-293-0383 Zip Code: 34990 Fax; 772-252-3231
E-Mail:auntiepatnoll@comcast.net Phone No. 772-266-2665
Fill in fee simple Title Holder on next page( if different E-Mail: info@accareheatair.com
from the Owner listed above) State or County License: Florida State License CAC1818622
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 MORTGAGE COMPANY: x 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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Countv 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
commencingwork or recordingour Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Kaur41 vt COUNTY OF J1Ao_Y -tV1
The forgo'ng instrument as acknowledged before me The forBping instrument was acknowledged before me
this _day of�� 20LMby this�day of JLxly 20�by
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(Name of person acknowledge ) (Name of person acknowledgin )
( Ignature of N16fary Public-State of Florida) (Signature of Vary
-Public-State of Florida)
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Type of IdentificatioType of Identification P o .', 13RITTNEY L LANER
ry 01.1070 MV COMMISSION p FF956877Commission No. Commission No. - EXPIR&*bruery 07.1010
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS