HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. 5/5/2017 Permit Number:
- I J -_
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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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N A1A#196
Legal Description: BREAKERS LANDING UNIT 196 (OR 3877-1514)
Property Tax ID#: 1414-602-0077-000-2 Lot No.
Site Plan Name: Stephen Petrozza Block No.
Project Name: Stephen Petrozza
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacing like for like 3 Ton R410a 20 SEER split system.
New Lennox XC20-036-230-5 3 Ton Condenser;
New Lennox CBX32MV-036 3 Ton Air Handler;
New Lennox ECB40-9CB-2P 9KW Heat Strip;
LC0__ INFORMATION:
Additional work to Je�e orme under this permit—e ec a apply:
RJHVAC L=P Gas Tank ❑Gas Piping 11 Shutters Doors n Windows
/
D Electric El Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 2500.00 Utilities:,nSewer El Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Stephen Petrozza Name: James E Dupuis
Address:4949 N AIIA#196 Company: Jimmy's A/C & Refrigeration, Inc.
City: Ft. Pierce State:FL Address: 46 43rd CT
Zip Code: 34949 Fax: City: Vero Beach State:FL
Phone No.856-889-2084 Zip Code: 32968 Fax: 772-299-3184
E-Mail; Phone No. 772-562-8353
Fill in fee simple Title Holder on next page i if different E-Mail: info@jimmysair.com
from the Owner listed above) State or County License: CAC1814821
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
comme,pcing work or recording our Notice of Commencement.
5
Sign ure of Owner/Less /Co tractor as Agent for Owner Signatu of Contractor/License Hold
S AT
OF FLORIDA S TE OF FLORIDA
OUNTY OF Indian River COUNTY OF Indian River
The forgoing instrument wa4 acknowledged before me The forgoing instrument was acknowledged before me
this !t—day of 20 _by this 5 day of m'y 20 by
James E Dupuis James E Dupuis
(Name of person acknowledging) (Name of person acknowledging)
(Signature o N ary Publi -Sta of Florida} (Signature of No Public-St to of lorida}
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ipgy l (-qW¢cca Feeley Commission No. $&,,2e,l tebecca Feeley
�� p��NOTARY PUBLIC (VOTARY PUBLIC
;W;1W
STATE RLORIDA
Comm#GG079874 Comm#GG079874
Revised 07/15/201 Expires 3/612021 Expires 3/6/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS