HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8.8.2016 Permit Number:
w
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 290 SW Prima Vista Blvd, Port St Lucie, FL 34983
Legal Description: 29 36 40 FROM NE COR OF SFC RUN S 89 DEG 33 MIN 10 SEC W 1405 FTALG N SEC LI. TH S 00 DEG 18 MIN 30 SEC E 2021.79 F TO POB TH CONT S 00
DEG t9 MIN 30 SEC E 550F7. TH N 89 OEU a.. VMM 30 SECE 195 ET 7I1 N 00 DEG 19 MIN 39 SEC W 525 FT TO PC OF GIN. CURV€ i0 LEFf. R OF 25 FT, Tkw NWLY ALG ARC OF CURVE 1927.FT TOP OF TANG OF CURVE. Tie S 89 D€G 41 MINM SEC W 370 FT TO POS )4.99AC) (OR
Property Tax ID #: 3429-134-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE FOR LIKE 4 TON SPLIT A/C SYSSTEM WITH 8 KW HEAT. INSTALL BRAND
NEW 14 SEER AMERICAN STANDARD 4 TON A/C SYSTEM WITH 8 KW HEAT
CONSTRUCTION INFORMATION:
— c ec a appy:
Additional work to be er orme un e N7,
kHVAC Gas Tank ing _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: 2299.00 S. Ft. of First Floor: 29985
Cost of Construction: $ Utilities:]Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bishop Of Diocese Palm Beach
Name: Robert Hennis
Address: PO BOX 109650
Company: Air Control Air Conditioning, LLC
City: Palm Beach Gardens State: FL
Address: 5415 Silver Oak Drive
Zip Code: 33410 Fax:
City: Fort Pierce State: FL
Phone No, 772-878-1215
Zip Cade: 34982 Fax: 772-460-6613
E -Mail:
Phone No. 772-460-2665
Fill in fee simple Title Holder on next page ( if different
E -Mail: AIRCONTROLAC@YAHOO.COM
from the Owner listed above)
State or County License: CAC 1815015
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
_
City:
Zip: Phone:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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, 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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/ License Holder
STATE OF FLORIDA
COUNTY OF SANT LUCIE
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z - day of (i -v i vg'T , 20 f 1, by this aTH day of AUGUST 20 It, by
WILLIAM PAII_ADIN40 WILLIAM PALLADINO
(Name of person acknowledging } (Name of person acknowledging }
(Signature of Notary Public- State of Florida } (Signature of Notary Public- State of Florida }
Personally Known X OR Personally Known... on
Type of Identification Pro Type of Identificat
;75
Commission No. cG„assMZ�XCommission No. G
Revised 07/15/2014
REVIEWS
FRONT
ZONING
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MANGROVE
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INITIALS