HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/14/2019 Permit Number:
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Building Permit Appl ca Ion �114, 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE: A/C CHANGE OUT
PROPOSEDI'MPROVEMENT'LOCATION: .-
Address: 330 JOHNSTON STREET, FORT PIERCE,FL 34982
Property Tax ID#: 3403-802-0038-000-3 Lot No. 9
Site Plan Name: BRADDY RESIDENCE Block No. 3
Project Name: A/C CHANGE OUT
l°-iiiETwl'LED.DE"-S',-C--,RIPTI.ON'00 WORK
REPLACEMENT OF SPLIT SYSTEM WITH 2.5 TON 14 SEER WITH 5KW HEATER, BRAND CHAMPION
CONSTRUCTION INFORMATION:
Additional 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: 866_ Sq. Ft.of First Floor:
Cost of Construction:$ 5,600.00 _ — -- Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameROBERTJ.BRADDY Name:LUIS E. BOLIVAR
Address:330 JOHNSTON STREET Company:LUIGI A/C SERVICES
City: FORT PIERCE State. Address:974 SW MCCRACKEN AVE
Zip Code: 34982 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-353-2366 Zip Code: 34953 Fax:
E-Mail: Phone No954-638-2854
,Fill in fee simple Title Holder on next page(if different E-Mail LUIGIACSERVICES@GMAIL.COM
from the Owner listed above) State or County License 1819271
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 IN,FORMATION:.. -
DESIGNER/ENGhNEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 E RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU.INTEND TO OBTAIN FlIfi%NCING, CONSULT
VQTH YOUR LENDER OR AN A RNEY BEFORE RECORDING OUR NOTICE OF CQftENCEMEMM
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORA ,
COUNTY OF 5-V• COUNTY OF
Thefor oing inst�ru nent was acknowledged before me The forgoing instt iment was acknowledg before me
this 1�[ day of 20-A by this day of V`h Q 20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identifi tion
Produced i, L Produced l-
(Signature of Notary P ic-State^of DN�y�ShAR�#0�o�°�(Sig�ature of Nc }�+.St�iEglj#CO°20�� I`
v Pva ,, COMI'AXSStON 2.56. Jam° ` °'„ ,s: =*= EXPIRES:DecembLr 9fi t .
Commission Nom d _ *SecPlRES:Decen'�tl�und K"+Yn ssion No. $on den nde 't �}
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REVIEWS FRONT ONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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