HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/15/17 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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S. Ocean Dr. #155 Jensen Beach, FI 34957
Legal Description: Windmill Village By -The -Sea
Property Tax ID #: Parcel ID: 4511-810-0162-000-1
Site Plan Name: Ruth Dunne
Project Name:
i Setbacks Front Back: Right Side: Left Side:
1
DETAILED DESCRIPTION OF WORK:
Change Out a like for like 2.5 Ton system, 16 SEER, 8kw Heat.
Lot No.
Block No.
CONSTRUCTION INFORMATION: I'
Additional work to be ertormed under this permit — check all h t apply:
✓HVAC � Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3700.00
S Ft. of First Floor:
Utilities:OSewer 0Septic Building Height:
OWNER/LESSEE:
Name Kerry & Ruth Dunne
Address: 10851 S. Ocean Dr. #155
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-8890
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Richard Whitehead
Company: Coastal Heating & Air Cond.
Address: 7984 SW Jack James Dr.
City: Stuart State: FL
Zip Code: 34997 Fax: 772-220-4997
Phone No. 772-288-4829
E -Mail: coastalac@aol.com
State or County License: CAC058137
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 Not'ce of Commencement must be recorded and posted on the jobsite
before the first inspecti n. If you intery to obtain financing, consult with lender or an attorney efore
cpNae
work of rile drdi our rA tice of Commenc entE
4
ignner Lessee/Co trac or as Ag t for Owner Signature of Contrdc or/License older
STATE OF FLORIDA
COUNTY OF owpillir\
The for oing instrument was acknowledged before me
this I day of WAIJ . 20 a by
(Name of person acknowledging )
(S', nturVbf Notary
ot ary�P bclirt�-6tate�
of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF Martin 1"'(
The forgoing instrument was acknowledged before me
this 'S day of May 20 ' I by
Richard Whitehead
(Name of person acknowledging )
(Signa re of otary Publi Sta of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. ��j(.' t if'ommission No
= ��, MARYA. MARQUIS
MARY A. MARQUIS = MY C )MMISSION # GG 03590
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t ' a EXPIRES: November 12, 2020
Revised 07/ 15/2014 qF;: ` 9o�irEXPIRES: ►� November
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