HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/9/18
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
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
Address: 110 N Las Olas Dr, Jensen Beach 34957
Legal Description: Beach Club Colony Sec 1 (OR 923-2888)
Property Tax ]D#: 4511-500-0015-000-4
Site Plan Name: Serakas, Karin
Project Name: Flynn's AC
Setbacks Front Back: Right Side:
Replace a 2T AC, 14 seer with a 5kw heater
❑✓— HVAC IJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:.
Cost of Construction: $ 4180
Name Karin Serakas
Arlri,,,. 4420 SW Laurel Oak Terrace
City: Palm City
Zip Code: 34990
Phone No. 772-631-8818
E -Mail:
– cnecK a
Piping
rs
Lot No. 7
Block No.
Left Side:
Shutters Windows/Doors
Generator Roof
Sq. Ft. of First Floor: _
Utilities: 0 Sewer Septic
State: FL
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Roof pitch
Name: doe Flynn
Company: Flynn'sAC
Address: 1323 SW Thelma St
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
..�„,.,,•�..r �-�.«�.1muE Hppncaoie MORTGAGE COMPANY:
Name: Name: Not Applicable
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Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _J ,Not Applicable
Name: \�
Address:
City:
Zip: Phone:
DING COMPANY:
Address: —
City:
Zip: Phone:
Applicable
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, consult with lender or an attorney before
commencing work or recording vour Nntirp of rnmmpnromn..+
- --
................
Signat Owner/ L ee/Contractor as Agent for Owner
5 a ure of Con t r/L nse Holder
STATE OF FLORIDA a
COUNTYOF tc If\
STATE OF FLORIDA
COUNTY t ✓�
OF Cat1 t
The forgoing instrument was acknowledged before me
day
The fogrgoing instru en was acknowledged efore me
thisof 26± by
this day of 20 �by
-_ -10 sa P tn (tf V1 G)
Name of p4rson making statetinent
Name of p rson making statement
Personally Known >c OR Produced Identification
Personally Known k- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
^
(Signature of Notary Public State of Florida) Mk J 8roso
(Signature of Notary Public- Stat WOm
a) MWJ. Bra
NOTARY PUBLIC
Commission No. pipTNiYPUBUC
Commission No. TE. OF FLORIDA
STATE OF FL
10)Conmlf G003�
Omnit 0GO30336
10/1/2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
I
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17