HomeMy WebLinkAboutAA&M BELL - 3476-15881 SUBMIT PACK ST LUCIE Co ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07.25.17 Permit Number:
Building I 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
I?KCPCEK I PRC3tlE IVT-LoCATI�N�
Address: 2210 JO HAYWOOD DR, Fort Pierce, FL 34946
Legal Description: CITRUS HEIGHTS S/D LOT 6(OR 1016-1648:2498-1383)
Property Tax ID#: 137774 Lot No.6
Site Plan Name: CITRUS HEIGHTS Block No. S/D
Project Name: AA&M BELL-3476-15881
Setbacks Front Back: Right Side: Left Side:
DETAILED OESCRPTION OF WORK":,
AC CHANGE OUT ONLY- NO DUCT WORK
16 SEER / 2.5 TON
HEATER KW 8
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit-c ec a appy:
ElHVAC _Gas Tank ❑Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator _Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4,433.00 Utilities:Sewer 0_Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JAVAN BELL JR Name: W S HIXON
Address:2210 JO HAYWOOD DR Company: AIR PLUS
City: FORT PIERCE State:_ Address: 6261 SE SLATER ST
Zip Code: 34946 Fax:N/A City: STUART State:FL
Phone No. Zip Code: 34997 Fax: 866.684.5854
E-Mail: Phone No. 772.486.2002
Fill in fee simple Title Holder on next page(if different E-Mail: AIRPLUSFL@YAHOO.COM
from the Owner listed above) State or County License: CAC 1816064
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
O' L f�` l S R QT1 1 LAW WFORMA1 # �
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: X_Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 1 will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The fallowing 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 recur in our Notice of Commencement.
MW
S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/license Holdtir
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 75 1 20 by this 25TH day of JULY 20 1 by
25 JULY 2017 W S HIXON W S HIXON
(Name of person acknowledging) (Name of person acknowledging)
(Signatur , la-f,� (Signature of Notary Public-State of Florida)
Personally x�. ICY w JPAN
80*1Muu y 3 fico on Personally Known . e. Y COQ COMMISSION#F'896049
Type of Idertr€ Pro e Type of Identificati `
t401i398-01153s EXPIRES Jing 13,201$
eHPa
Commission No. (Seal) Commission No.
(40.1098-101W %r4aN
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 137774
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
Legal Description of property and address if available CITRUS HEIGHTS SID LOT 6(OR 1016-1648:2498-1383)
1432-700-0009-000-2
General description of improvements A/C CHANGE OUT ONLY-NO DUCT WORK
Owner/lessee JAVAN BELL JR
Address 2210 JO HAYWOOD DR
Interest in property: OWNER
Fee Simple Title holder(if other than owner)
Address 2210 JO HAYWOOD DR FORT PIERCE FL 34946
Contractor W S HIXON DBA AIR PLUS Phone 4 772.486.2002
Address 3261 SE SLATER ST STUART FL 34997 Fax 4 866.684.5854
Surety N/A Phone#
Address Fax#
Amount of Bond
Lender Phone4
Address Fax 9
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(a)7.,Florida Statues:
Name WS HIXON DBA AIR PLUS Phone# 772.486.2002
Address 3261 SE SLATER ST STUART FL 34997 Fax# 866.684.5854
In addition to himself,owner designates N/A of
Phone# Fax#
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Own ease %r-M-pV s�orLesse-e'%-44thorizedOfficer/Director/Partner/Manager/Signature
W S HIXON, OWNER/AIR PLUS
Signatory's Title/Office
State of Florida,County of MARTIN
Acknowledged before me this' 25 TH day of JULY 20 17 ,by W S HIXON
who is personally known tome or who has produced PERSONALLY KNOWN as identification.
V
KATHLEEN MOUTRAN
Signature of Notary Type or Print Name of Not y KATHLEEN(OWTIRAM
My COMMISSION#FF
FF899049
Title: Notary Public Commission NumberEXPIRES Ju ly 13,2019