HomeMy WebLinkAboutBuilding PermitBuilding 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 CHANGEOUT LIKE FOR LIKE
FRCP@ ED IMPROVEMENT LOCATION:
Address: 9421 S OCEAN DR UNIT #88 JENSEN BEACH, FL 34957
Property Tax ID #.. 3535-333-0001-580-1
Site Plan Name:
Project Name:
INSTALL A 2 TON 14 SEER GOODMAN SPLIT SYSTEM WITH 5KW HEAT
Additional work to be performed under this permit– check all that apply:
XMechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4740
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael F Barzyk
Name: KEVIN M SHARKEY
Company: SHARKEY AIR
Address: PO Box 4749
City: FT LAUDERDALE State: FL
Zip Code: 33338 Fax:
Phone No. 305-788-7754
Address: 7862 SW ELLIPSE WAY
City: STUART State: FL
Zip Code: 34997 Fax: 7722203787
Phone No 7722202487
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail KATE@SHARKEYAIR.COM
State or County License CAC1816853
If value of construction is 52500 or mnrv_ a RFrr)RnFn Nntira of rnmmanramant is ron 6i 4
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
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 R�;k
T IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO Y�" ROPERTY. A NOTICE OF COMMENCEMENT M`RECORDED AND
POSTED ON THE JOB SITE BEFORE T E FIRST INSPECTION. IF YOU INTEND TO OTT N ANCING, CONSULT
WITH YOUR LENDER OR AN A OR BEFORERECORDING YOUR NOTICE OF COMM "
- LI
Signature of Owner/ Lessee/ tractor as A for Owner
'Sig—nature of Contractor/license Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 21 day of MAY 20 19 by
this 21 day of MAY 20 19 by
KEVIN M SHARKEY
KEVIN M SHARKEY
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
J
(Signature of Nola Pu tic- State of Floor=
(Signature of t Pub - State of Florid )
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Bonded through N tonal Notary Assn,
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