HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-10-2016 Permit Number:
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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 652 Senegal Ct Ft Pierce fl 34982
Legal Description: palm grove s/d blk c lot 20 (.11 AC)(OR 2416-150)
Property Tax ID#: 3410-503-0088-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Iris Redgate
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
Replace Air Handler and Condenser. Heatpump with backup electric heat. Like for Like.
Ahu-tem6aob30 Trane
Condenser-4twr603O Trane
5kw heater
16 SEER
CONSTRUCTION INFORMATION:
Additional wor toe e orme under t —checkispermit a appy:
HVAC E]Gas Tank EJ Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator E] Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 4500.00 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Namelris Redgate Name: Ryan Osler
Address:652 senegal ct Company: Ryan's Heating and Cooling, Inc.
City: ft pierce State:fl Address: 740 sw mccall rd
Zip Code: 34982 Fax:n/a City: port st lucie State:fl
Phone No.772-595-9560 Zip Code: 34953 Fax: n/a
E-MaiI:n/a Phone No. 772-224-9486
Fill in fee simple Title Holder on next page(if different E-Mail: ryanosler@comcast.net
from the Owner listed above) State or County License: CAC1814590
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —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:
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.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF
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The orgoing instr ment as acknowledged fore m The fo going instrument w acknowledg:Zy
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this day of , 20 1y this��day of 20
(Name of per n cknowledging) (Name of p rs acknowledging)
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( gnature f Notary Public-State of Florida) (Signa ure of Not Public-State of Florida)
Personally Known OR Pro ce Ide c ion Personally Known OR Prod cea Id tification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS