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HomeMy WebLinkAboutBuilding Permit Application I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' J' 1 Permit Number: RECEIVED A s - - - - ---_-- - Building Permit ApplicatioriJUL 0 3 2019 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMITTYPE: kd A PROPOSED IMPROVEM N L&AT ON: Address: gn S NCCN A Property Tax ID#: 001 - C06 � - 0-2-33 000 - Lot No. Site Plan Name: Block No. &� Project Name: DETAILED DESCRIPTION OF WORK: o Leek- ps� CONSTRUCTION INFORMATION: i Additional work to be performed under this permit-check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors i Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $ (L700 t D0 Utilities: —Sewer —Septic I Building Height: OWNER/LESSEE: CONTRACTOR: .� Name �� Name: 1 �p QX_ 1 1 14:�'7A"Y.A E-nS .Add ress: , . - A ComparrVP f\A9,1'•i=i&C_ City: State.r--L Address: 15 3L UMVVNVC�_ i4\._ Zip Code: Fax: City:-\)ZM �2GL� State:__'F_L Phone No. Zip Code: -16,9GO I Fax:77 A_ _56 E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed aboi! 'Y�� ��I'I� �' ��II�11a tate or Count I11s Anse i�i�co-5 o�J� I . 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. i ,1!- .I I I 11 i'i•' 1 I i i 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 BEF9RE TME FIRST INSPECTION. IF YOU INTEND TO ,OBTAIN FINANCING, CONSULT WITH YOURONDEJ9 OR AN. ORN BEFORE RECORDING YOUR NOTICE.OF COM ENC ENT." Signature of Owner/Lessee/Contractor as Agent for Owner ignature of Contractor/License Holde STATE OF FLORIDA STATE OF FLORIDA ° COUNTY OF RI 142Jo COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this3 day of 201a by this rc day of J r. 20a by 6 Name of person making statement. Name of pe son making statement. Personally Known y/ OR Produced Identification Personally Known v OR Produced Identification Type of Identification Type of Identification Produced Produced ��� y,� M� �.•� Y�',, , BARBARA AN M �• (Signature of Notary Public-State o tary Public-S Laj f Notary Public- a i jda� MURK Y Commission 5 ;_¢`�«�� otary lic State of FI ri a �N9T ;� My Comm.Expire g18 N I=a3 C mission#FF 2315 5 Commission No. o TP°; �lY�9�,m.Expires Aug 18,2 9 Bonded through Nati ssn. •,,FOFF,o�, Bonded through National Notarl A n. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED ev. PROPOSAL Lic.#RA-0044628 BARKER ELECTRIC - Serving Indian River Lic.#CAC057252 County Since 1959 Lic.#CAC1816135 AIR CONDITIONING &HEATING, INC. Full Sheet Metal Shop _ For the Best In Service 1936 Commerce Avenue•Vero Beach,Florida 32960•(772)562-2103 •Fax(772)562-5340 825 U.S.Highway 1 •Sebastian,Florida 32958•(772)589-9899+Fax(772)589-9917 PROPOSAL SUBMITTED TO: PHONE: (,� c� C[ DATE PHONE: I f D�® U� 2.9 R! UE \ STREET /- JOB NAME CITY,STATEAND IP CODE JOB LOCATION ST. Lucie CounW, Permitti I EQUIPMENT SPECIFICATIONS SEER: I MANUF: A Ir.rr ,�, TONAGE: L1 HEATR W.: �HEAT PUMP A) COND.UNIT M#: er1 I I'd LI A/H M#: A/H LOCATION B) SEER: V MANUF: �2,�. , TONAGE: L-I HEAT K.W.: !1 HEAT PUMP 1' COND.UNIT M#: / A S b L-1I e A/H M#: i4 n 1 Li \ ii A/H LOCATION C) SEER: MANUF: TONAGE: HEAT]K.W.: HEAT PUMP COND.UNIT M#: A/H M#: A/H LOCATION D SEER: MANUF: TONAGE: HEAT.K.W.: HEAT PUMP COND.UNIT M#: A/H M#: A/H LOCATION f77 } / A 1 C epi R e- C N1E1 , ja NEW P...ROPERLY SIZED.FREON LIN SIZE; , NEW CONDENSATE PUMP j 110 VOLT: 230 VOLT: NEW-INSULATED A/H PLATFORM NEW THERMOSTAT M# NEW OUTDOOR CONCRETE SLAB SIZE: YRS,PARTS WARRANTY/ L3`YRS.LABOR WARRANTY STRAP DOWN OUTDOOR UNIT I YRS.COMPRESSOR WARRANTY/ ��YRS.COND COIL WARRANTY MAKE AIRTIGHT PLENUM CONNECTIONt A/C PERMIT INSPECTION INCLUDED LINE EXISTING PLATFORM CHECK FINISHED JOB FOR QUALITY BARKER A/C WILL NOT BE HELD RESPONSIBLE FOR ANY REPAIRS, DAMAGES,OR CRANE EXPENSES DUE TO OR RELATED TO MOLD.UNFORTUNATELY, MOLD CAN OCCUR R 410-A FLUSH KIT FOR MANY REASONS THAT WE CANNOT CONTROL.WE STRONGLY RECOMMEND SERVICING YOUR A/C SYSTEM 1 OR 2TIMES AYEAR. OWNER UNDERSTANDS: _ I BARKER A/GIS NOT RESPONSIBLEFOR EXISTING FREON LINES PAYMENT TO BE MADE AS FOLLOWS: ( /� p� .. A) INSTALLED PRICE: By signing below,you,the Customer,acknowledie and agree that arker Electric Air CoRdition- ing and Heating,Inc.("Barker A/C")shall be entitled to recover any and all of its attorneys fees, B) INSTALLED PRICE: court costs, and all other costs of collection or enforcement of the terms of this Proposal, including but not limited to appellate attorneys fees and costs,from you,in the event fees-or C) INSTALLED PRICE: costs are incurred as a result of your failure to pay in full and on time or in the event that Barker A/C is required to take any action to enforce this Proposal due to your breach thereof,regardless D) INSTALLED PRICE: of whether a law suit has been filed.Barker may charge a finance charge of 18%per annum or the highest rate allowed by law,on any late payments. ' (Customer signature) Acknowledged and Agreed to on this day of—L,20 lg by: (Customer printed)