HomeMy WebLinkAboutBuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/13/19 Permit Number:
COUNTY
s +
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_
PERMIT TYPE:A/C CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S. OCEAN DR. 112B
Property Tax ID#: 4502-803-0002-000-2 Lot No.
Site Plan Name: ATLANTIS CONDOMINUIUM BLDGB Block No.
Project Name: S -
[DETAILED DESCRIPTION OF WORK:
A/C INSTALL LIKE FOR LIKE. RHEEM 2.5 TON 16SEER. M#RA1630AJ1 NA,RBHP21J07. Cgl�
s
CONSTRUCTION INFORMATION:
Additipnal work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: I OS?Js. Sq. Ft. of First Floor:
0
Cost of Construction:$ 44POO Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name:Joshua Roberts
Address: Company:AIR DOCS OF THE TREASURE COAS
City: State:_ Address:866 12TH AVE SW
Zip Code: Fax: City: Vero Beach State:FL
Phone No. Zip Code: 32962 Fax:
E-Mail: Phone No 772-713-7716
Fill in fee simple Title Holder on next page(if different E-Mail AIRDOCS ADM(9?YAHOO.COM
from the Owner listed above) State or County License 12702
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/13/19 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential-
PERMIT TYPE:A/C CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S. OCEAN DR. 112E
Property Tax ID#: 4502-803-0002-000-2 Lot No.
Site Plan Name: ATLANTIS CONDOMINUIUM BLDGB Block No.
Project Name: YYl
DETAILED DESCRIPTION OF WORK:
A/C INSTALL LIKE FOR LIKE. RHEEM 2.5 TON 16SEER. M#RA1630AJ1 NA,RBHP21J07. gWc�
CONSTRUCTION INFORMATION:
Additi9nal work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1 C)( Ss . Sq. Ft.of First Floor:
n�
Cost of Construction:$ %r)o Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name:Joshua Roberts
Address: Company:AIR DOCS OF THE TREASURE COAS
City: State:_ Address:866 12TH AVE SW
Zip Code: Fax: city: Vero Beach State:FL
Phone No. Zip Code: 32962 Fax:
E-Mail: Phone No 772-713-7716
Fill in fee simple Title Holder on next page(if different E-Mail AIRDOCS ADM@YAHOO.COM
from the Owner listed above) State or County License 12702
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:_ Name:
Address: 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 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 RNEY BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT."
Signat e of Owner/Lessee/Contractor as Agent for Owner Signatu o Contractor/License Holder
STATE OF FLORIDA STA OF FLORIDA
COUNTY OF �TZZ_-/Q%Q-A_) COUNTY OF- KI•O(A4-) Zk\W_r
The f94oing instrup�e�nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of f ,20� by this J day of�£g 20-11 by
�as►� , +�. 6e S
Name of person making statement. Name of person making tement.
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pr duc Pro d
4 0 UA
(Signa r of No a e5WWN (Sign to of No o
1•BELL YN I.BELL
MY COMMIS ONN GG 170551
Commis ' n No. :" MYCOMMI 1���tfGG 170551
IRES: er25,2021 Commission No. EXPIRES:�e Mi
er 25,2021
Bonded Thru Notary Pub6a Underwriters �rEor f°p'` Sor W TMi NWary Public I 1—rwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 19