HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION:
Address: 2011 51st Ct
Property Tax ID #: 2406-502-0156-000-1
Site Plan Name:
Project Name: - ..
Permit Number:
Building Permit Application
Commercial Residential x
DETAILED DESCRIPTION OF' 11 ORK:
System #1 Changeout Like for Like 3.0 ton 14 seer 5 kw
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
tMechanicaf _ Gas Tank —Gas Piping _ _ Shutters , Windows/Doors
Electric _ Plumbing Sprinklers _ Generator hoof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ds*p [Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name George Remy/Alan Charlip Name.. Gregory P Chapdelaine
Address: 20244 Melville St Company:AIC Express & Heating LLC
City: Orlando State: Address:491 NW Riverside Dr
Zip Code: 32833 Fax: City: Port St Lucie State: FI
Phone No.516-945-4736 Zip Code: 34983 Fax:
E-Mail:g.remyl2@gmail.com Phone No 772-240-4857
Fill in fee simple Title Holder on next page ( if different E -Mail acexpress2@grnaii.com
from the Owner listed above) State or County LicenseCAC057139
If value of rnnctnirtinn is tlKeln 00 f%nnrn
- -- ,...c, v �.-., nWGW 3'NLPLMC uI Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable pp
MORTGAGE COMPANY; Not Applicable
Name.
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name;
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRdrrnQ eccinrnn•r.
- - - • nFF 1L.CALIU11 1.5 IIerer]y mase io ootain 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 our Notice of Commencement.
Signatu of ner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF 4 tcz COUNTY OF
The forgoing instrument was acknowledgedbefore me The forgoing instruTent was acknowledged efore me
this 31 day of� [re rr_ 20 M by this � day of l,%Frr 2I by
Name of per on making statement. Name of1PJrson making statement.
Personally Known OR Produced Identification_
Type of identification
Produced L
Nota
mission No. ..`; Notary Public{�af Florida
wnmiss6on # UG 2f 5437
��`�,� � My Comm, Expires May 8, 2022
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification,
Type of Identifion
Produced �(V
(Si atur N to a lic- S ate of F arida )
JOSE TAPIA
Commission No f' • ': N t r ublic • State{ f i fa
• �` Commission # GG 215487
My Comm. Expires May 8, 2o22
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