HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Jan 4, 2017
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: 2118 NW Greenbriar Lane, Palm City 34990
Legal Description: Greenbrier Village Harbour Ridge -Plat 2 Unit 10 (OR 2008-832)
Property Tax ID #: 4425-701-0046-000-3
Site Plan Name: Coblentz, John Jr. and Dorathea
Project Name: Flynn's AC Service
Setbacks Front Back: Right Side: Left Side:
Replace a 4T, 15.75 seer AC system with a 10KW HTR
Lot No.
Block No.
0 Windows/Doors
L1Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5325.00 Utilities:USewer oSeptic Building Height:
Name John Coblentz Jr
Address: 2118 NW Greenbriar Lane
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-343-7225
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph 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: _ Not Applicable
Name:
Address:
City:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
S
natur*r Contractor/License Holder
STATE OF FLORID /��p�
COUNTY OF 1 V\ COUNTY OF
STATE OF FLORIDIVIQ.141
The for oing instrument was acknowledgegl before me The fo oing instrument was acknowledged before me
this day of �20 by this L7 day of =_.tq r1 La C • 20 f7by
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(Name of perces h cknowledging) � (Name of persons nowledging )
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(Signature o Notary P lic- State of Florida) (Signature of Notary Pub' - State of Florida )
Personally Known OR Pro uced ria Personally Known OR Produced Identification
Type of Identifica ion Produc Nem Type of Identification Produced
Commission No. ea Commission No.;W0y0 PUL.�
FLORIDA
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Revised 07/15/2014
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