HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9 Aug 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 XXX
PERMIT APPLICATION FOR: Mechanical
Address: 7006 Arthurs Road, Fort Pierce, FL 34951
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
Lot No.
Block No.
A/C change, like for like with a 3 ton 16 Seer straight cool system with 10kW electric heater.
HVAC II Gas Tank
Electric E-1 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4342.00
permit — cnecKan apply:
Gas Piping Shutters ❑ Windows/Doors
Sprinklers 0 Generator Roof
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Name John Pagano
Address: 7006 Arthurs Road 34951
City: For Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 914-489-3625
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: James T. Smith
Building Height:
Company: Comfort Zone A/C and Heating of Florida
Address: 3200 43rd Ave Suite 6
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-770-0507
Phone No. 772-770-0507
E -Mail: Jim.Smith@TheComfortZoneFL.com
State or County License: CAGO57477
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:
Address:
City:
City:
Zip: Phone:
Tip: 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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
S
Signature of ontractor/License Ider
STATE OF FLORIDA STATE OF FLORI. ) ` A��
COUNTY OF i fG{f'l I �' COUNTY OF c� 1 'V
ThefArgping instru ent was ac owledged before me
this _day of 7 20 «by
(Name of person acknowledging
a w 'S?Y� —
(Sii—naturb of NotaryPublic- ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
•.;�Io LAURIE SMffH
Commission No.MY COMMISSIONIFF0
EXPIRES: August 1, 2
*0Y11
60A6e4 Thru 8udflet NAry Si
Revised 07/1512014
The forgoing instrument was a knowledged before me
this ZZ day of L1 u5 20 Ls,, by
\J -n ► il--�
(Name of person acknowledging }
c4a,aw
(Sig at a of Notary';Public- State of Florida )
Personally Known V___—OR Produced Identification
Type of Identification Produced
°".RY Pp r LAURIE SMI'M
Mimmission No. {Seal),,.:,
!-:MISSIONIFFOI)3169
knES: August 1, 2417
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