HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-05-2016 Permit Number:
E �e �
Building Permit Application DEC 0 6 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie Cou ty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �C
PROPOSED IMPROVEMENT LOCATION:
Address: 115 W.Aldea Street port st lucie fl 34952
Legal Description: River Park-unit 03-BLK 30 Lot 11 (map 34/22s)(or 3936-2616)
Property Tax ID#: 3419-515-0261-000-3 Lot No.11
Site Plan Name: River Park Block No. 30
Project Name: 115 W.Aldea
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace Air handler and Condenser. 2 Ton 16 Seer Straight cool with 5 kw heat.
Air Handler-ASPT291314
Condenser-GSX16024
CONSTRUCTION INFORMATION:
Additional work to be Derformed under this permit—check all thatappy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbingSprinklers FI Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $2,850.00 Utilities:,nSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJoe Lowry Name: Ryan Osler
Address:115 W.Aldea Street Company: Ryan's Heating and Cooling, Inc.
City: port st lucie State:fl Address: 740 sw mccall rd
Zip Code: 34952 Fax:n/a City: port st lucie State:fl
Phone No.772-528-1935 Zip Code: 34953 Fax: n/a
E-Mail:n/a Phone No. 772-224-9486
Fill in fee simple Title Holder on next page(if different E-Mail: ryanosler@comcast.net
from the Owner listed above) State or County License: CAC1814590
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 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 our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF l t�'i_,1xp, COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this—aday of 20 6�by this LL day of 1(?; 20 1_�_by
_]Lk4 a Q,ILI K\ R-1 I
(Name dY person acknowledging) (Name o person acknowledging)
Lot-_ , I. A,,�, -
(Sign ure of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification e/ Personally Known OR Produced Identification
Type of Identification Produced .nj • Type of Identification Produced ISL. r2 L
Commission No. (Seal) Commission No. ' (Seal)
KAREN S. NIELSEN
_ Commission# FF 1 .�``��""�° KARE
*_ ,+,. N S. NIE77S�EN
Revised 07/ My Commission Expires per, - ,_ Commission# FF 1
June 12, 2018 e��: My Commissio
'�'�����,����• June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS