HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/2016 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: 2503 NW Hollyberry Lane, Palm City 34990
Legal Description: Harbour Ridge Plat no 1 (OR 224;
Property Tax ID #: 4436-601-0017-000-8
Site Plan Name: Neuhaus
Project Name: Flynn's AC Services
Setbacks Front Back:
Right Side: Left Side:
Lot No. 17
Block No.
Replace a 15 seer, 2.5T AC system with a 8KW htr. with out duct replacement in a residential
building.
Duni wUrn w UMI
HVAC
It Uuo unn
Gas Tank E]Gas
Vtl l l al —aIecrc au n
Piping _
apply:
Shutters E]Windows/Doors
Electric 0
Plumbing
Sprinklers 0
Generator 1:1 Roof
Total Sq. Ft of Construction:.
Cost of Construction: $ 5185
Name William Neuhaus
Address: 2503 NW Hollyberry Lane
SFt. of First Floor:
Utilities:'nSewerE]Septic Building Height:
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-631-0108
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 Services
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
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 con, 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
commencine work or recordiniz vour Notice of Commencement.
_ Sigr12fure of 04iner/ Lessee/Agent
STATE OF FLORIDA `
COUNTYOF fJL! 1(1
The forgoing instrume t was acknowledged before me
thisdayof - 201_�Q_by
-ar
(Name of person acknowledgi )
�v,L4L rvuv -.
(Signature of Notary Publi -State of Florida )
Personally Known - OR Produced Identification
Type of Identification Produced__, _ AA, _,_. e___
Commission No.
STATE OF FLORIDAf
COUNTYOF /VkCU
The forgoing instrument was acknowledged before me
this j �dayof-Of. � r 0 20 by
- � k 1 1y V�
(Nameofpersona nowledging)
(Signature of Notary Public tate of Florida )
Personally Known
Type of Identification Pry
Commission No.
OR Produced Identification
Revised 07/15/2014rn� i1W1/m
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SEA TURTLE
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