HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/09/2016 Permit Number: r�od (0
RECEI`.'�i7 AUG 2 G 2016
.ate 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: Mechanical
PROPO"SED IMPROVEMENT LOCATIQN
1
Address: 3823 SANDLACE CT
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 52 LOT 8 (OR 3609-587)
Property Tax ID#: 3425-706-0265-000-6 Lot No.8
Site Plan Name: Block No. 52
Project Name: HOWARD SNYDER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION„QF,WORK::
A
A/C CHANGE-OUT OF 3.5 TON YORK UNIT 'A SCL` I0 K vJ
CQNSTR`UCTIGN INFORMATION
F a w,. k
.�_ s-
itiona wor to be nerformed under tispermit—check all tnt appy:
❑✓ HVAC Gas Tank Gas Pi _ Windows
— ❑ in Piping Shutters Doors11 ❑ /
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3700 Utilities:-Sewer-Septic Building Height:
0R/LESSEE CONTRACTOR
Name HOWARD SNYDER Name: GRETA B.SMITH
Address:3823 SANDLACE CT Company: ALL YEAR COOLING &HEATING
City: PORT ST LUCIE State:FL Address: 1345 NE 4TH
Zip Code: 34952 Fax: City: FORT LAUDERDALE State.FL
Phone No. Zip Code: 33304 Fax: 954-617-3798
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page (if different E-Mail: DDANIELS@AYCAIR.COM
from the Owner listed above) State or County License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
.,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: 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 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 po ed on the jobsite
before the'first inspection. If you intend to obtain financing, consult with lender or attorney before
commencing w6rk or recording our Notice of Commencement. --
flX �R " A s
_Signature f Owner/'Lessee/Agent Signature of Contractor/Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 0 F SAINT LUCIE COUNTY COUNTY OFBROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2g_day of AUGUST . 20 16by this 29 day of AUGUST 20 16 by
HOWARD SNYDER GRETA B.SMITH
(Name of ack (Name perso now e
(Signature of Notary Public-State of Florida ) (Si nature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Know Produced Identification
Type`of I n i n Pro( �d Type of Identific ti 3+ ,f., u
„ DIM��`R =
!" MY COMMISSI 173126
Commissi `N. F�)f-1MYCOMMISSION#f§Aa7�126 Commission No r5�_. 41
'? �;d!.r• EXPIRES October 30,2018 erii ES October 30 2018
Nnta •Service.com (a07)9 98 153 FloH&Nntary•Service.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS