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HomeMy WebLinkAboutBuilding Permit Application I II All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED b(�h Date: 3/2812019 Permit Number: t 9t)3'' itcl 1 _COUNTY OUNTY , FLORIDA R � ; WINNININNINNINNIMINOO®B .ld. Permit Application P ? sF n9 D Planning and Development Services um uupar Building and Code Regulation Division err,; s of 2300 Virginia Avenue,Fort Pierce FL 34982 !I Phone:(772)462-1553 Fax (772)462-1578 Commercial Residential X PERMIT TYPE:MECiHANICAL l PROPOSED IMPROVEMENT LOCATION Address: 13951 CEDRO COURT (SPANISH LAKES FAIRWAYS) Property TaxIDm 130(1, 1\\- 000%- 0 nolo Lot No._ !i Site Plan Name: Block No. i Project Name: BRUCE LAVALLE DETAILED DESCRIPTION OF WORK INSTALL 1 TON 12K BTU 18 SEER MINI SPLIT HEAT PUMP SYSTEM 110awoiric, Witt t '* CONSTRUCTION INFORMATION Additional work to be performed under this permit-check ail that apply: _Mechanical _Gas Tank _Gas Piping _Shutters ___Windows/Doors Electric ._..Plumbing Sprinklers Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 3175.00 Utilities: Sewer _Septic Building Height: I I I OWNER/LESSEE: CONTRACTOR: Name BRUCE LAVALLE Name:FREDERICK MILLER Address:13951 CEDRO COURT Company:MILLERS CENTRAL AIR,INC City: FT PIERCE State: ft Address:20 W INTERLAKE BLVD Zip Code: 34951 Fax: ' City: LAKE PLACID State:FL. Phone No.631-838-1826 Zip Code: 33852 Fax: E-Mail: i Phone No 772-785-8080 Fill in fee simple Title Holder on next page(if different E-Mail OFFICE©MILLERSCENTRALAIR.COM from the Owner listed above) State or County License CAC058675 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. 1 • ,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable 1 Name: Name; Address: t Address: ' City: State: City: State: Zip: Phone Zip: Phone: ;I FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: Zip: Phone: I 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 Countymakes 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 O COMMENCEMENT MUST BE'RECORDED AND PO-1" D ON THE JOB;SITE BEFORE THE FIRST INSPECTION. IF OU INTEND TO OBTAIN FINANCING, CONSULT W YOU• LENDER OR AN ATTORNEY BEFORE RECORDING Y R NOTICz OF COMMENCEMENT." /Li '- `tgn 'ae o Owner/Lessee/Contractor as Agent for Owner S', nature of C ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF -t - The forooing instru ent was acknowledged before me The for Ding instrument was acknowledged before me this..21 day of CA.fC''--' ,20 J4 by this day of [),K., ,20 11 by ( 'i(. --tit kV ! C t Boit i at.P vALI .k2.-(. Name of person making statement. Name of person making statement. ,I i 11 Personally Known ✓ OR Produced Identification Personally Known L-"OR Produced Identification Type of Identification Type of Identification Produced Produced I £ l J[ Nt �I �--� j '' t Lf Signature of Notary Public-iState of Florida) (Signature of Notary Public-State of Florida) Commission No. F oitet (Seal) ^�i sion No. � `( "I' t (Seal) , 41.E TA V4E e I pore y .`�ay445 •%" I�ANEt,L.E RI Y4IES ;i wt3! i" 14 .: Gli'* 15 20iv1Y GOMMtSSIUSYi "4.44:116 "rtsti .tag ap REVIEWS . FRONT! li Q gE'�� VkS r ry us VEGETATION Si.:: t' E exl J f9@ }s.2.'2115)9 COUNTER ttss ru.' REVIEW REVIEW ARE (3 1 sl $22212Sri7i'"" n _,J_.I DATE 1 RECEIVED DATE COMPLETED Rev.217/19