HomeMy WebLinkAboutBuilding Permit Application 1011412016 14:51 fAX) P.0021004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .�� ' �0 Permit Number; �1I� 0 l '1 I
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Building Permit-Application OCT 14 20S .
Plonning and Development5ervlces • PERf:4ITTINIG
6ullding and Code Regulation olvision St.Lucie County, FL
2300 Vlrglnla Avenue,Fort pierce FL 34582
Phone:. 772 462-1553 -Fax: 772 462-1578 Commercial Resi XXX
( 1 ( .) dential
PERMIT APPLICATION FOR: Mechanical
PROPOSED.,IMPROVEMENT LOCATION:
Address: 7208 Mystic Way
Legal Description: Mystic Pines at The Reserve Lot 2
Property Tax IP-#: 3322-620-0007-000-1 Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Rlght Slde: Left Side:
DETAILED DESCRIPTION OF WORK.
HVAC change out only, Ston 16seer.Lennox system 10kw
CONSTRUCTION INFORMATION:
. A001tionalworl(t0bangarformed under tnis perms —check all appy:
�✓ HVAC ' Ga5 Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric 0 Plumbing ❑Sprlriklers ❑Generator• ❑Roof'
Roof pitch
Total Sq. Ft of-Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7065.00 _ _ Utllltles Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name chat WeinWvm Name: Scott Camlre
Address:7208 Mystic Way Company: AC Advantage Inc
City: PSLucie rState:FI Address: 1926 SW Biltmore St
Zip Code: 34986 Fax: City: PSLucie State:FI
Phone No. Zip Code: 34984 Fax: 772-336-756
E-Mail: Phone No. 772-336-7366•
Fill in fee simple Title Holder on next page(if different E-Mail: csr@acadventagaine.com
from the Owner listed above) State or County Llcense: CM01249807
If value of construction 13$2500 or more,a RECORDED Notice of Commencement Is required.
10/1412016 14:51 TAX) P.0031004
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: C1ty:
Zip: Phone: Zip: Phone:
I certify that no work or lnstallatlon•has commenced prior to the issuance of a permit.
St.Lucie County makes no represe%rtf8tion that is granting a HAermit will authorize the permit holder to build the subject structure '
which is in qonflict 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 thi5'requested permit,I do hereby agree that I will,id all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t,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 fallura' 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.
Jwws
Si ture of Owner/Lessee/Contractor as Agent for,Owner Slifnature of Contractor/ ense Holder
STATE OF FLORIDA STATE OF FLORIDA
.COUNTY OF Fc COUNTY OF n
The forgoing instrume t was acknowledged before me The forgoing Instrument was acknowledged before me
this L day of 20 this ._5day of C:�__+ 20 by
Scott Cadre Scott QIMIM
(Name of person ackno ging) (Name of person asknowled$ng
l. (Sign ure of Notary ublic-State of Florida) Sfgnatu of Notary Publ o•State of.Florida)
Personally Known XX OR Produced Identification Personally Known xX OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) o��mrf�5,sIon No. -Y2to (Seal)
TARY PUBLIC
W TE Or-FIVRIUA
Revised 07/15/2014 , ComffAPF172262
Expirea 10128/2048
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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