HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/41/2019 Permit Number:
•
Building Permit ApplicationELucie
1.1 2019
Planning and Development Services unty, Permittin
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xxx
PERMIT TYPE:Mechanical
PROPOSED IMPROVEMENT LOCATIO V
Address: 10701 S Ocean Drive unit 812
Property Tax ID#: 4511-510-0013-000-1 Lot No.812
Site Plan Name: p Block No.
Project Name:�P 3,.Vn
DETAILED DESCRIPTION OF WORK:
r .
HVAC'Change out 2.5 ton 14 Seer Goodman Package unit
.CONSTRUCTION..LNFORMATION:
Additional work to be performed under this permit–check all that apply:
ILfAechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
—Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,260.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:. ;. CONTRACTOR:
Name William Fernandes Name:Ezzard C Matute
Address:7741 N Military Trail Company:Spectrum Renovations
City: West Palm Beach State:_ Address:12985 Tangerine Blvd
Zip Code: 33410 Fax: City: West Palm Beach State:FL
Phone No.Jim 561-847-1936 Zip Code: 33412 Fax:
E-Mail:fortitudefl@gmail.com Phone No Robby 561-231-4931
Fill in fee simple Title Holder on next page(if different E-Mail info@spectrum-ac.com
from the Owner listed above) State or County License CMC1249932,
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;,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 Pf COMMENCEMENT_'
Signature of Own4y Lessee/Contractor as Agent for Owner gnat re of Contracto License Holder
STATE OF FLORI STATE OF FLORIDA,/ ��C
COUNTY OF Fa l m-gruc� COUNTY OF KAl
The forgoing instr m@qt was acknowledged ,efore me The for oing instr men was acknowledged efore me
this�day of'g! � , 16-ey ,20�by this 4, day of ���a",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 Identification
Produced Produced
C�lU� Gam_
(Signature of Notaryublic-State of Florida) (Signature of Notary P blic-State of F ida)
���� MpRLEME BRUNEIf.
MARLENE89UNE �°*' _,,(ASe4=mm' ° isslon#,GG1247
Commission No. GG 124720 : aI) ommission No. GG 124720 Commission#GG 124 2� �` aes 0etober29,202>
ExplresOctober29,2 21 oFsaeanm�eua�etNoaurs s
OF _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW ' REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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