HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5407 Myrtle Drive, Ft. Pierce 34982
Legal Description: Indian River Estates Unit 08, Block 54, Lot 24
Property Tax ID #
Site Plan Name:
Protect Name: _
Setbacks Front
Not on property appraiser's site - Law Enforcement
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like - Rheem 3.0 ton 16 SEER w/ 10kw Meat
***ATTIC AIR HANDLER***
Aciaitionai work to be ertormed u
a HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: S 3650.00
Lot No. 24
Block No. 54
r mis permit— cneck allapply:
InShutters OGas Piping o Windows/Doors
11 Sprinklers 1:1 Generator E Roof
5q. Ft. of First Floor: _
Utilities: ❑Sewer 0Septic
Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sally Hurley Name: Jacques C. Stiegelman
Address: 5407 Myrtle Drive Company: Jack Frost AC of South Florida, Inc.
City: Fort Pierce State: FL Address: 1716 SIN Biltmore St.
Zip Code: 34982 Fax: City: Port St. Lucie State: FL
Phone No. (772) 370-6578 Zip Code: 34984 Fax. (772) 336-9032
E -Mail: Phone No. (772) 336-9030
Fill in fee simple Title Holder on next page ( if different E -Mail: JACKFROSTFLORIDA@AOL.COM
from the Owner listed above) State or County License: CAC1815725 1 Co. 25113
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: X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 blame 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 fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wal Is, 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. �.
SignatureA Owner/ agent/ Lessee
STATE]F FLORIDA z
COUN OF St. Lucie to a P_
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The forg?&g instru ent was acknowled ed before Ws O l� m
this 3ay of 20 !Gv by 0- LL
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Jacques C. Stie elman U
(Name of person acknowleing } / �tLu
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re of Notary Public- state of Florida )
Personally Known XX OR Produced Identification N/A
Type of Identification Produced
Commission No. FF007935 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known XX OR Produced Identification NIA
Type of Identification Produced
Commission No. FF007935 (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE�REIE
ANGROVE
REVIEW REVIEW REVIEW REVIEW VW
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Signature of tractor/ Icerise Holder
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STATE O�LORIDA
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COUNTY OF St. Lucie
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The forgoing instrument was acknowledged before
rry X w
this Trdday of 20Mby
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Jacques C. Stie elman
(Name of p rsan acknowledging)
(Sig Lure of Notary Public- State of Florida )
Personally Known XX OR Produced Identification NIA
Type of Identification Produced
Commission No. FF007935 (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE�REIE
ANGROVE
REVIEW REVIEW REVIEW REVIEW VW