HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/14/2019
COUNTY
F L 0 R I 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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 1 LAKE VISTA TRAIL UNIT 207 PORT ST LUCIE, FL 34952
Property Tax ID #: 3422-500-0014-000-1
Site Plan Name:
Project Name: LAVIN
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF A 2 TON 14 SEER 5KW RHEEM COMPLETE SYSTEM
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _Gas Piping _ Shutters _Windows/Doors
Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3300.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES LAVIN
Name: LUKE WALKER
Address: 1 LAKE VISTA TRAIL UNIT 207
Company: TREASURE COAST AIR CONDITIONING
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 772-344-3410
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 LicenseCAC058476
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
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." --
Signature
7 1
Signature of Owner/ Le� /Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID/
STATE OF FLORIDA
COUNTY OFMARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
till$ >> day of DUNE , ZQ_ by
this 11 day of JUNE , 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
of Identification
Type of Identification
_Type
Produced
Produced
(Signet r o w Public-� ate o Florida
(Stgnatur�of No
1ai'c? LAURA A. READER
LAURA A READER
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Comm gf�ti o'a al
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Commission No.
MY OMMISSIO�Ad�275744
EXPIRES: November 12, 2022
EXPIRES: November 12, 2022
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