HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l (�
Date: 08/09/2016 Permit Number: / � 0 /- v
RECEIVED
Building Permit Application
Planning and Development Services SEP
14 2016
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierre Fl_34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED I;IVIPRObEIVhENT LOCATfO;N:
Address: 3012 EAGLES NEST WAY
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2
Property Tax ID#: 3424-702-0213-000-2 Lot No.4
Site Plan Name: Block No. 65
Project Name: JANET A HUTCHERSON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
"A/C CHANGE-OUT OF 2 UNIT A TRANE AND RUUD 4 TON UNIT S?er- 1�1K
CONSTRUCTION IN°FORIUTATION
Additional wor toeb erl`orm-e" un er t ispermit-c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers E Generator 0 Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 4750 Utilities:Sewer Septic Building Height:
OWNER/LESSf E: '. CONTRACTOR'
Name JANE HUTCHERSON Name: GRETA B. SMITH ~
Address:810 ENGLISH RD Company: ALL YEAR COOLING & HEATING
City: SAINT LUCIE COUNTY State:FL Address: 1345 NE 4TH
Zip Code: 24151 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 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 y paying twice for
improvements to your property. A Notice of Commencement must be recorded an po ed on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender o a attorney before
comme ing work or recording your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent: Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F SAINT LUCIE COUNTY COUNTY OF BROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this D2 day of SEPTEMBER 20 16by this 02 day of SEPTEMBER , 20 16 by
JANE HUTCHERSON GRETA B.SMITH
CN ;7njac<n o w a ging) (Na on acknowledgln )
(Signature of No tate of Florida) (Signatureof Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Apr au`'•• ,,+4pp�ay'••.,
Commission No. FF17312 _ :°'`�^`'° DI1111�kTRIUS A DANIEL Commission No. FF1731zs 4r�,^,,, pl '��tIUS A DANIE
MY COMMISSION#FF173126 •� •f MY COMMISSION#FF17312
_.� ;�_EXPIRES October 30,_2018 _ ___^__.,_____ __ io, .• '___ PIRES_CZctober 30,201
Revised 07/15/2014 (407)39&0153 Florfdallota ySetvice.com d07)389-0153 Floridallotaryservice.com
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