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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: m7a 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 PROPOSED IMPROVEMENT LOCATION: Address: 10725 S. OCEAN DR. #24 JENSEN BEACH, FL 34957 Legal Description: HOLIDAY OUT @ ST LUCIE BLK A LOT 24 Property Tax ID #: PARCEL ID: 4511-501-0026-000-7 Site Plan Name: Project Name: KUEGLER RESIDENCE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change Out a like for like 3 Ton package unit. 8KW Heat 14 SEER CONSTRUCTION INFORMATION: Additional work toe oerformed under this permit— check a appy: HVAC City: JENSEN BEACH State: _ Zip Code: 34957 Fax: Phone No. 772-349-2177 Address: 7984 SW JACK JAMES DR. City: STUART State:FL Zip Code: 34997 Fax: 772-220-4997 Phone No. 772-288-4829 Gas Tank ❑Gas Piping E -Mail: COASTALAC@AOL.COM State or County License: CAC058137 Shutters 11 Electric ❑ Plumbing 11 Sprinklers Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 4800.00 S�. of First Floor: _ Utilities: ) Yl Sewer 17 Septic Lot No. 24 Block No. A ❑ Windows/Doors Roof Roof pitch Building Height: OWNER/LESSEE:_ CONTRACTOR: Name ERIC KUEGLER Name: RICHARD WHITEHEAD Address: 10725 S. OCEAND R. #24 Company: COASTAL HEATING & AIR CONDITIOINING City: JENSEN BEACH State: _ Zip Code: 34957 Fax: Phone No. 772-349-2177 Address: 7984 SW JACK JAMES DR. City: STUART State:FL Zip Code: 34997 Fax: 772-220-4997 Phone No. 772-288-4829 E -Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) 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: - 9A�j Signature of Contractor/License Holder DESIGNER/ENGINEER: _ Not Applicable Name: ERIC KUEGLER MORTGAGE COMPANY: Name: RICHARD WHITEHEAD _ Not Applicable Address: 10725 S. OCEAN DR. 424 JENSEN BEACH, FL 34957 City: JENSEN BEACH State: Zip: Phone Address: 10725 S. OCEAND R. #24 City: STUART Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Address: City: _Not Applicable Address: 7984 SW JACK JAMES DR. 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, consultu th lendr oJ�an attorney before commencing work or recording your Notice of Commencemento , I I A i Rev. 8/2/17 9A�j Signature of Contractor/License Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STATE OF FLORIDA ��r COUNTY OF Vat tin The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before m this day of 20_ by this 79 day of NUUQm fX , 20by : ti�'y" .•; o? I I Name of person making statement Name of pers9pmaking statement ' Personally Known OR Produced Identification Personally Known V OR Produced Identification[Nr- Type of Identification Type of Identification Produced Produced -71 0Cr 3 0 U46 - (Signature of Notary Public- State of Florida) (Signa ure of N tary P/ublic- State Florida Commission No. (Seal) Commission No. C d (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 I ) - 010 0 ' r.. ,t w.� y t:�'i ✓ e t t Y..,. rF £ t' ;.S ��t z��.s t,+' hS�gt �. �.T i ty�x'aaier ty� tF a� Jai �..� Z , I J tt i t tl. 1 Iis.•rC' Sir �9 F f �U >rl: ^�' e .,<, , `.f: .....4.v.,..°1 H..F.ct.: .. 2 �p F y t r � , >�;tx I> ,.�!�....5 s-c�: � F t�-:�••°"t>a�.^�ic7a�'��'.4,Gt� �{..,.,<. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name:ERIC KUEGLER Name:RICHARD WHITEHEAD Address:10725 S.OCEAN DR.824 JENSEN BEACH,FL 34957 Address: 1D725 S.OCEAND R.#24 City: JENSEN BEACH State: City: STUART State: Zip: Phone Zip: Phone: '-FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address:7984 SW JACK JAMES DR. 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 r pr perty.A•Notice of Commencement must be record d and posted on the jobsite before the first'ins etio; If you intend to obtain financing, consult with lend r o an attorne before cornn cjIng worec din our Notice of ommence erit Signature of O er/Lessee Co a orgeure as' nt for Owner Signatof Contractor/License Holder STATE OF FLORIDA l STATE OF FLORIDA COUNTY OF YvIC'�1'1 COUNTY OF The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before m this Vi day of CJQ11I.MI)p ' 20], by this 2C day of N6IIfYtI P.( ,20 by _0.:9 ,�- t fi P'.e�,J I L It� 1 °� Name of perso�rrIakin statement Name of perso making statement """`"• an o ersonally KnownV OR Produced Identification Personally Known ✓ OR Produced Identification C% 0. ype of Identification Type of Identification M z roduced Produced a ti o o a � � Z ill -, ,1t/L I pO Tu<rLL-1 Signatu a of Notdry Public-State of Florida (Signa re of N tary Public-(State Florida) ommission No. goo (Seal) Commission No, C (Seal) _REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17