HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/26/2016 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
Address: 2111 NW Greenbrier Lane, Palm City 34990
Legal Description: Greenbriar Village Harbour Ridge Plat 2 Unit 16 (OR 3550-2395)
Property Tax ID #:`425-701-0052-000-8
Site Plan Name: Lewis
Project Name: Flynn'sAC
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
Replace a 3T AC system, 15.25 seer with a 8KW HTR, without duct replacement in residential
building.
onai worrc su ae enunneu unuci uubNe�nm—u
HVAC Gas Tank E]Gas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: -
Cost of Construction: $ 4215
Name Gordon Lewis
1-1 Sh'ut'ters ❑,Windows/Doors
❑ Generator ❑ Roof
SFt. of First Floor:
utilities: �Sewer ❑Septic Building Height:
Address: 2111 NW Greenbriar Lane
City; Palm City State: FL
Zip Code: 34990 Fax:
Phone No_ 772-344-1876
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joe Flynn
Company: Flynn's AC Service
Address: 1323 SW Thelma St
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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.
S`' nat�ur�eo we Lessee/Agent
STATE OF FLOR DA STATE OF FLORID
COUNTY I i COUNTY OFI '!\
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this 26day of Sf 201 -6 -by this�dayof JA[.120 L�_by
(Name of person acknowledgin ) (Name of person ack owledging)
(Si ature of Notary of Florida) (Si nature of Notary Public- 8tate of Florida
Personally Known OR
Type of Identificati n Produ@j
Commission No.
Remised 07/15/2014
Personally Known >e, OR Produced Identification
Type of Identification. Produced
MpCHELZ
))`�fll��p18 Commission No.
FLORIDA
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VEGETATION
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