HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/17/16 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
Address: 6630 Alheli St Fort Pierce, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK 39 LOT 14 (OR 1516-2662)
Property Tax ID #: 1306-500-0052-000-6
Site Plan Name:
Project Name: Dwyer
Setbacks Front Back: Right Side: Left Side:
Lot No. 39
Block No. 14
Replace 4 ton split ac system w/Oi KW heat, 20.50 seer-Lennox-CBX32MV-048, XC25-048-exact AC
Change out
❑✓ HVAC
Electric
0 Plumbing
oSprinklers
t] Windows/Doors
11 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 15,804.00 Utilities: Sewer 11 Septic Building Height:
Name Richard J Dwyer
Address: 6630 Alheli St
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Ph,,,, Nn_ 772-465-8534
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
NamP. Carey Zarm
Company: Service Experts
Arlrlrac,,. 840 Jupiter Park Dr. #110
City: Jupiter State: FL
Zip Code: 33458 Fax: 954-748-5784
Phone No. 954-748-0894
F-naail• BSJ11601@Comcast.net
State or County License: CAC1817129
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name: _
Address:
City: —
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City.
Zip: Phone: _
X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
Arirlrpcc
State
X Not Applicable
City: State: _
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 ssocpermit will authorize the permit holder to build the subject structure
snts tha
tructure. cture. Pleaich is in se colict nsult th w thpyolurHlome Owners Association land review on yyour deed or any laws or and restrictions wh ch may apply. restrict or prohibit such
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 tl-- first inspection. If you intend to obtain financing, consult with lender or an attorney before
commefi ing work or recording your Notice of Commencement 4
;see/Contractor as Agent for Owner Signature
STATE OF FLORIDA
COUNTY OF �t
The forgoing instr�}�ent was cknpwledge����b,,,,efore me
this � day of No 20 _`�bY
(Name of person ackno ledging )
(Signature of Notary Pu - State oYFlorlda )
Personally KnownOR Produc Identification
Type of Identification duced
134WRA JOHNSON
Commission No. -=;PaY1P B< ISSION 617
#FF03
MY COMM _. ,her 20, 201
Revised 07/15/20141 (40713980153
REVIEWS I FRONTI ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Ider
STATE OF FLORIDA e
COUNTY OF ��t
The forgoing instrument wasracDk�nrowledge before me
this! ay of Ono-eM 201 s� by
(Name of persona knowledging )
(Signature of Notary Public- Stat of lorida )
Personally Known OR Pro ced Identification
ITvoe of Identification Produced
SPaYP9a BARBARA JOP ON
mission a .�'=
W r:OMMISSION #11F 6174
SUPERVISOR I PLANS
REVIEW REVIEW
:?,E„«?; EXPIRES September 20. 2017
107;"398"0153 FloridallotaryService.com
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