HomeMy WebLinkAboutBuilding Permit Application 0912912016 13:37A8} P.0021005
ALLAPPLICABL INFO M ST U COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 X0 XX
PERMIT APPLICATION FOR: MQchaniCal ,
PROPOSED iM.P'ROVEMENT LOCATION:
Address: 3333 S Indian River Dr -Ft Pierce 34982
Legal Description:
Property Tax ID#: 2426-502-00004-000-3 _ Lot No. 3 .
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
DETAILED DESCRIPTION OF WORK: '
AC Change out only 4-ton 16seer Trane system 10kw �
CONSTRUCTION INFORMATION:
ona wor t o orme under this perm —check all appy:
HVAC.' Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
13 Electric Plumbing ❑Sprinklers 11 Generator ❑Roof Roof pitch
Total Sq.Ft of Construction: 5 :Ft.of First Floor:
Cost of.Construction:$-6930-00 Utilities Sewer[]Septic-
Building Height:*-
OWN ER/LESSEE: CONTRACTOR:
Name Harold S wniiams Name: Scott camire•
Address:3333 S Indian River Dr Company: AC Advantage Inc
City. Fort Pierc® State: FI Address: 1926 SW Biltmore St
Zip Code: 34982 Fax: City: Port St Lucie State:FI
-Phone No. Zip Code: 34984 Fax: 772-338-7566
E-Mail: Phone No. 772-336-7566
Fill In fee simple Title Holder on next page(if different E-Mail: csr@acadvantageino.coin
from the Owner listed above) State or County License:,("AMC_
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
0912912016 13:37 TAX) P.0031005
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: ' ___.Nat 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 ermlt holder to build the subject structure
which is In conflict with an�+�ppllcable Home Owners Assoc atlon rules,bylaws qr anc covenaots that may restrict or prohibit such
structure.Please consult w t 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.followlrig building permit applications are exempt from undergoing a full concUrrencjr 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 twl[e 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.
nature Owner Lessee Contractor as Agent for Owner
Pfiatur.e.of contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF stu+ao COUNTY OF stucle
The for fling instrumentwas acknowledged before me The forgoing instrument was acknowledged before me
this ' ,day of Sctsb .20 1�o by ' this 28 day of s'P`_ __•20 J(P_by
emtt Cemlra Scott camire
(Name of person'acknled ing.) (Name of person acknowled mg
(Sign Lure of Nota Public-State of Florida) . 51gna re of Notary Pub o•State of Florida)
ersonally Known xxxx OR Produced Identification Personally Kndwn xxxx OR Produced identification
Type of Identification Produced' Type of Identification Produced
Commission No. FF172262 (Seal) Commission No, FF172262 (Seal)
Jamie ftm
NOTARYPUSLIC
Revised 07/15/2014 STATE of FLORIQA
.
0am1110 FF172W2
VIM 10/21112018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
'COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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