HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/23/2017 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: 10600 S Ocean Dr 103, Jensen Beach 34957
Legal Description: Oceana South Condominium II unit 103 and Undiv Share In Common Elements (OR 2798-1964)
Property Tax ID 1i: 4511-517-0010-000-1
Site Plan Name: Farese
Project Name: Flynn'sAC
Setbacks Front
Back: Right Side:
Replace a 2T, 12 seer, A/C system with a 5KW htr
m itionalworxtODe erTormeu unuer LmbperrrnL—La
IZHVAC Gas Tank ❑Gas Piping
11 Electric ❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 4690
Name David Farese
Address: 465 Hilltop Rd
Lot No.
Block No.
Left Side:
Shutters ❑l� Windows/Doors
Generator 11 Roof ❑ Roof pitch
SFt. of First Floor:
Utilities:SewerE]Septic Building Height:
City: Riegelsville State: PA
Zip Code: 18077 Fax:
Phone No. 772-229-9162
E -Mail:
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:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I 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 will authorize thepermit 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 your Notice of Commencement.
s
Si ure 6f Ovya r/Lessee/Contractor as Agent for Owner 5 tur of C ractor/License Holder
STATE OF FLORIDA .4-A STATE OF FLORIDA I
COUNTY OF N1 COUNTY OF LIIVUL.�( ✓\
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this "12 day of W i2.A1% -\ 20 aby this day of M A)t e,. X 20 ta' by
``oS-e ,�71n Y � 1[ r1 Yl � ®:��-Q � � �� �/ t1 ✓�
(Name of persoA acknowledging (Name of person acknowledging )
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(Signature -of Notary Pubiic- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Pr m Mkhd*J.11ha Type of Identificationuced
NOTARYPUBLIC,f sJ.amm
Commission No. 8TAIIXIFLORIDA Commission No. 7ARY
. Carm# 00030038 STATE
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Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS