HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8!112016
Permit Number:
`J.L _
•
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: 407 Paurotis Lane, Fort Pierce, FL 34982
Legal Description: PALM GROVE SID BLK J LOT 8 (0.13AC) (OR 2172-1665)
Property Tax ID tt: 3410-503-0260-000-2 Lot No.8
Site Plan Name: PALMI GROVE Block No. J
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE FOR LIKE 2.5 TON STRAIGHT COOL A1C SPLIT SYSTEM WITH 5 KW HEAT.
INSTALL BRAND NEW GOODMAN 14 SEER 2,5 TON STRAIGHT COOL AIC SPLIT SYSTEM
WITH 5 KW HEAT
CONSTRUCTION INFORMATION:
Additional work to be pertormed under tris permit — cnecK allapply:
HVAC Gas Tank ilGas Piping Shutters Windows Door
11 Electric Plumbing Sprinklers M Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 1305
Cost of Construction: $ 1999.00 Utilities:Sewer Septic Building Heig l -t:
OWNERAESSEE:
Name Theresa Arcati
Address:407 Paurotis Lane
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No. 772-460-0673
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Robert Hennis
Company: Air Control A1C
Address: 5415 Silver Oak Drive
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-460-6613
Phone No. 772-460-2665
E -Mail: AIRCONTROLAC a@YAHOO.COM
State or County License: CAC1815015
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
M
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State
X Not Applicable
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
X Not Applicable
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 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 your Notice of Commencement.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF SAINT Lucie
The forgoing instrument was acknowledged before me
this day of , 20 _by
WILLIAM PALL AD1140
(Name of person acknowledging )
(Signature of Notary Public- State of Florida }
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this 15T day of AUGUST 20 by
WILLIAM PALLADINO
(Name of person acknowledging }
(Signature of Notary Public- State of Florida }
Personally Known x d*"ATA Personally Known x OR Produced Identification
Type of Identification Pro t colrQ+e$SIQr( 0011759 Type of Identi
D JRWILLIAM PALLAD
Commission No. 01,11759 Commission ION NGOII I}
FJ�MBF hily 13, 2020
WA
Revised 07/15/2014
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DATE
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