HomeMy WebLinkAboutBuilding Permit Application 1212312016 10:56 TAX) P-0021003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1�; `1 Ito Permit Number: 1.S1
-
RECEIVED
Building Permit Application DEC 27 2016-
Planning and Development Services
PERMITTING
Building and Code Regulation FivWan St. Lucie County, FL
2300 Virginia Avenue,fort Pierce Ft 34982
Phone:(772)4621553 Fax:(772)462.1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Mechanical
1't
PROPOSED IMPROVEMENT LOCATION:
Address. 7852 Plantation Lakes Or
Legal Description: Reserve Plantation-Phase IIA Lot 4(Map 33/28N)(Or 826-938: 1235-1660)
Property Tax ID#: 3321.803-0010-000-3 tot No.`I
Site Pian Name: Block No:
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
HVAC,change out only 411oh RUUD system 10kw
CONSTRUCTION INFORMATION.:
A001tionalworktobanarformed un er t s perm — ec a appy:
HVAC Gas Tank oGes Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing F lSprinklers Generator Roof Root pitch
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ "�i ,��.�� Utilities: Sewer 7Septic Building Height:'
.OWNER/LESSEE: CONTRACTOR:
Name Frederick Diane Roosemann Name: Scott Camlre
Address:7952 Plantation Lakes Dr Company: AC Advantage Inc
City: PSLucie State:FL Address: 1928 SW Biltmore St
Zip Code: 34988 Fax: City; PSLucie State:FL
Phone No. Zip Code: 34984 Fax: 772-336-7566
E-Mail: Phone No. 772.336-7366
Fill in fee simple Title Holder on next page(If different E-Mail: csr4acadventegeinc,cin
from the Owner listed above) State or County License: CM01249807
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
12123/2016 10:56 f AX) P.0031003
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:
Ztp: Phone: Zip: Picone:
I certify that no work or installatlon has commenced prior to the issuance of a permit
St.Lucie Coun#�makes no repres�rr��t��ation that is granting a ppermit will authorize the permit holds 'to build the subject structure
which is in conflict with an applicapla Home Owners Associatton 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;l 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 Netice of Commencement may result in your paying twice for
impprovements 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 CommencemerA
g
Si re oJ Owner l see Contractor as Agent for Owner S126ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF eta COUNTY.OF al Lw•
The f sing ins rument was acknawledggg before me The forgoing Inst ment was acknowledged before me
thliga day of� , 20114by this day of.� 20 Ro by
(Name of person acknowled ' g) (Name of person acnowledgt
(5 natu of Notary Pu ic-State of Florida) ( gnatu a of NotaryPubl -State of Florida)
Personally Known Xxx OR Produced Identification Personally Known xxx .. OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. FF1722e2 414ftIP011 t Commission No. FF1722e2 .gees rNl
NOTARYPURM NOTARYPUBW
Revised 07l15/2014 Cqt 00 FF17� OsxnrnA�FF47 2
Expires 10/2812015 Exp1M 101:78/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS