HomeMy WebLinkAboutBuilding Permit Application it
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEB. 19,2019 Permit Number: t0tOa— 03( .
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Building Permit Application •
Planning.and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: 72
7 462-1553 Fax:(772) X
462 157$
{ � Commercial Residential
PERMIT TYPE:
t.d Q5a Q MPI EMt T 00TI (t ar b' ` v� q �r 'yM�� $ 5 , .'
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Address: 9429 S OCEAN DR#95.JENSEN BEACH FL 34957
Property Tax ID#: 3535-333i-0001-950-6 Lot No.
Site Plan Name: Block No.
Project Name: CONDON A/C CHANGE OUT .
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A/C.CHANGE OUT(SAME FOR SAME). ONE 2.5 TON 14 SEER RHEEM SYSTEM WITH 5 KW ELECTRIC HEATER.
4N x 6W 4 ° - S 've`z tTR4V - rk
Addi)onal work to be performed under this permit-check all that apply- .
V Mechanical Gas Tank Gas Piping Shutters _Windows/Doors
Electric Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: .. Sq.Ft. of First Floor:
Cost of Construction:$ $4,275.00 Utilities: _Sewer Septic Building Height:,
Name Robert J Condon Name:JUAN CRUZADO
Address:3 STATE ST Com an JENSEN BEACH AIR,%HEAT'LLC
p Y:
City: Marblehead,MA 01945 State: Address:2092 SE HANFORD RD
Zip Code: 01945 Fax: City: PORT ST'LUCIE State:FL
Phone No.603.769.1796 Zip Code: 34952 Fax:
E-Mail: Phone No 772.334.3200
Fill in fee simple Title Holder on next page(if different E-Mail JENSENBEACHAC@GMAIL.COM ';
from the Owner listed above) • State or County License CAC1818779
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: i Name:
Address: I: Address:
City: i. State:. City: State: I
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING:COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: i 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. I
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" i
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Signatur
wner/Lessee/Contractor as Agent for Owner SiW-r-e-et-4
Contractor/Li se Holder 1
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STATE OF FLORIDA �,,]j, STATE OF FLORIDA • t
COUNTY OF Q I. . COUNTY OF
: The . :sing ins. .i -. was . .* ledg;�. efore me The i ins. . -► a .ck -p ledgefore me
this 'I . _:y of•ir4il f ,e I, 20 by this of' Br r P ' ,20 , by
0 110 171 (I11.1.-ft I in, 0 ) .
Name o person rrmakin statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced •
„r: .-. U 'i iL
�.
(Signature of Notary Public-State of*.--.. . 0 .:, * StateodFiorda(Signature of Notary Public-State of Stnead DemInlc
/ fsx ,fir My Conxnlsslon Expires 08/18/2021 * * State of FEond�
Commission No. ‘, S �lj4p i N0,C�ission No. 6.-z(in it S'54(; al on,Expirest /1 1
It opr‘,0 Commission No.G6 1643
REVIEWS FRONT i ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19
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