HomeMy WebLinkAbouthill st lucie permit app 05102019All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAY 10, 2019
wFIR
COUNTY
F 1 n R 1 r.
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 Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE: A/C CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S OCEAN DRIVE UNIT 808 JENSEN BEACH, FL 34957
Property Tax ID #: 4502-804-0064-000-7
Lot No.
Site Plan Name: Block No.
Project Name: HILL
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF A 2 TON 15 SEER 7KW RHEEM COMPLETE SYSTEM
LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3503.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JUTTA HILL
Name: LUKE WALKER
Address: 10044 S OCEAN DRIVE, UNIT 808
Company: TREASURE COAST AIR CONDITIONING
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No. 772-229-0614
Address: PO BOX 460
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 772-288-7046
Phone No 772-692-1701
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail TCAC1990@ATT.NET
State or County License CAC058476
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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 2/7/19
Signature of 0 er% Lessee/Contractor as Agent for Owner
Signature of tractor/License Holder
STATE OF/FL HIDA
STATE FLORIDA
COUNTY MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 10 day of MAY 20 by
this 10 day of MAY 20 by
LUKE WALKER
LUKE WALKER
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
LAURA A. READER
Si nature of Notar .' t {f
( g
(Signature of Notary umS ISSIQNGG275744
#GG275744
=; `= EXPIRES: November 12, 2022
EXPIRES:�lovef{tt 12, 2022
Commission No. ''F o?•° tJap
ed Thru Underwriters
''FOF Fl�P ` BMS p hers
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
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