HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/25/2018 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: 7105 Deer Park Avenue
Legal Description: LAKEWOOD PARK -UNIT 11- BLK 146 LOT 24 (MAP 13/12N) (OR 1029-1570)
Property Tax ID #: 1301-613-0211-000-1 Lot No. 24
Site Plan Name: Block No. 146
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out residential air conditioning system; Replace with a 2.5 ton, 16 seer, 8kw unit
CONSTRUCTION INFORMATION:
Aaditional work toe e orme un ispermit—c ec a appy:
Z✓ ❑Gas
HVAC Gas Tank PipingShutters Q Windows/Doors
11 Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4050 Utilities: Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joe Sessa
Name: David Kruse
Address: 7105 Deer Park Ave
Company: AC Doctors Inc
City: Fort Pierce State: FL
Address: 1853 Biltmore Street
Zip Code: 34951 Fax:
City: Port Saint Lucie State: FL
Phone No. 772-971-5875
Zip Code: 34984 Fax:
E -Mail:
Phone No. 772-344-3944
Fill in fee simple Title Holder on next page ( if different
E -Mail: acdoctorsinc@gmail.com
State or County License: CAC058461
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Joe Sessa
MORTGAGE COMPANY: _ Not Applicable
Name: David Kruse
Add ress: 7105 Doer Park Avenue
Address: 7105 Deer Park Aya
City: Pod Pierce State:
Zip: Phone
City: Ped Saint Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 1853 eikmore street
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 installatlon has commenced prior to the issuance of a permit.
St Lude Counttyy makes no representation that is granting a ppermlt will authorize the permit holder to build the subject structure
which is in conFlict with any applicable Home Owners Assocletion 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.
Inconsideration 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
commencine work or recordings vnur Nntirp of rnmmunrnm.n+
Rev. 812117
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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DATE
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Rev. 812117