HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC)U Ni -Y
F 6 d R ry q
Permit Number.
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fart Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
Commercial Residential x
Address: 1511 NW Lancewood Terrace, Palm City, FL 34990
Legal Description: AC Replacement - Like for Like
Property Tax ID #: 442£ 03-0015-p00-3
Site Plan Name:
Project Name: Rosecrans
Setbacks Front Back: Right Side: Left Side;
DETAILED DESCRIPTION OF WORK:
AC Replacment Like for Like
0 k1k)
CONSTRUCTION INFORMATION:
Additlon�rk Co be E'i i71 r, i :! un d e t -s permit — C
ZHVAC Gas Tank E]Gas Piping
11 Electric L_J Plumbing 0Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6041.00
OWNER/LESSEE:
I Nar eftben Rosecrans
Lot No.
Block No.
Shutters Windows/Doors
Generator Roof
5Ft. of FirstFloor: _
Utiiities:nSewer ESeptic
Address: 1511 NW Lancewood Terrace
City: Palm City State:FL
Zip Code: 34990 Fax:
Phone No.
E -Mail:
Fill in fee simple Tittle Holder on next page ( if different
from the Owner listed above)
C4NTRAC7170#t:
Name; Frederick Millar
Building Height:
Company: Miller's Central Air, Inc.
Address: 722 SW Biltmore Street, Suite
Roof pitch
City: Port St. Lucie state: FL
Zip Code: 34983 Fax: 772-344-6480
Phone No. 772-785-8080 4
E -Mail: Sandyl@millerscentralair.com
State or County License: CAC058675
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE
Name: _
Add rens:
City:
Zip:
INFER: _ Not Apolicanle MORTGAGE COMPANY: , Not Applicable
Name:
Phone:
FEE SIMPLE TITRE HOLDER:
Name:
Add ress:
City:
Zip: Phone:
State:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:.
Zip: Phone:
t certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
St. Lucie County makes no representation that is granting a permit witl 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 pians, 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 theffitst inspection. If you intend to obtain financing, cons ith lender or an attorney before
commene'i work or cording your Notice of Commencement.,'
r as Agent for Owner
STATE OF FLORIDA"` STATE OF FLORIDA
COUNTY OF l~ 4kicl-e- COUNTY OF
The f5o�oing instrument was acknowledged efore me
this day oVLjG � Z4- b►
RDbarl'Roma-p& A -
(Name of piers
(Signature Florida)
finally Kno � OR Produced Identification
2 of_W*14T'If`ycation Produced
Commission
Revised 0711.512014
M. PM,i
The forgoing instrument was acknowledgeo before me
this day ofJL n LC, j2 q by
F./f
jName)st p n ck� lead ng I
, .
(Signature of Notary"Public-
ly K,a"n OR Produced Identification
Ek ntificatuon Produced
mission No.t�
NORMA J STACK
Notary Pu4tk • State of Flo da
Commission # EE 864204
" ^"INJ,,n11 NNAry Assn
REVIEWS
FRONT
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SUPERVISOR
PIANS VEGETA
COUNTER
REVIEW
REVIEW
REVIEW REVIE
DATE
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INITIALS
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"'InRIA J. STACK'
NotIly Pob1,c, . vtale
CUMM tx, rr<s pays, 2Gt 7
Commrasian # EE ttS424ti
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