HomeMy WebLinkAboutJenkinsApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-10-17 Permit Number:
r
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
Address: 3030 Summit St, Fort Pierce, FL 34982
Legal Description: Pioneer Park BLK B Lot 6 (0.23 AC) (OR 1440-1847: 1504-1806: 1690-886)
Property Tax ID #: 2421-703-0015-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 6
Block No. B
A/C Change Out, Same for Same, Ston 16SEER, Amana ASZ160361 / Amana ASPT37C14 / 10kw
existing duct work.
CONSTRUCTION INFORMATION:
Aaaffional work to be nertormedund& t ispermit – check a appy:
HVAC i—J Gas Tank 0Gas Piping_ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Ei Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5650.00
5 Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
dame Patricia P Jenkins
Name: Adam Emanuel
Address: 3030 Summit St
Company: Adam's Air Conditioning
City: Fort Pierce State: PL
Zip Code: 34982 Fax:
Phone No.
Address. 582 NW Mercantile PL
City: PSL State: FL
Zip Code: 34986 Fax: 772-878-3951
Phone No. 772-337-6559
E -Mail:
Fill in fee simple Title Holder on next Page ( if different
from the Owner listed above)
E -Mail: info@adamsairconditioning.net
State or County License: CAC1814146
IT vajue OT construction is !�ZWU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Patricia P Jenkins
MORTGAGE COMPANY: _ Not Applicable
Name: Adam Emanuel
_
Address: 3030 Summit St, Fort Pierce, FL 34382
Address: 3030 Summit St
City: PSL State:
Zip: Phone:
City: FortPieroe State:
Zip: phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 582 NW Mercantile PL
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, conlsyt
ith lender or an attorney before
commencing work or recorjl+ng your Notice of Commencement,
re of owner/ Lessee/Co tfactor as Agent for Owner I Signature of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SaituLueie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this 10th day of October 20_ by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida )
(§VVETTE HAMILTON
MY COMM[SMON # FF(A8668
EXME.S: January 07, 2020
REVIEWSI FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this 10th day of October , 20_ by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
te(Sigof Notary Public- State of Floridan No. F s4essa , LYIW) E HAMILTON
COMMISIDN B FF908668
m.:. :87,20
PERVIS
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