HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE(INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \' (.y'`� Permit Number: Roq-cqo 1
RECEIVED
O. ,
Building Permit Application
SEP 2 0 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: Mechanical : A/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 2704 Juanita Ave, Fort Pierce, FL 34946
Property Tax ID#: 1432-806-0004-000-2 Lot No.136
Site Plan Name: Block No.
Project Name: McClain-ST Lucie Housing Rehab
DETAILED DESCRIPTION Of'1NQRK.
A/C Equipment Change Out 2.4 7D i 6 s /p r w H-e:a-T
CONSTRUCTIQN,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: 1,342 sqft Sq. Ft. of First Floor: 1,342 sqft
Cost of Construction:$ 4,000.00 Utilities: —Sewer _Septic Building Height:
01NN ER[LESSEE. .CO NTRACTOR
Name Edith McClain Name:David Zamarripa
Address: 2704 Juanita Ave Company:DAVID HEATING&AIR CONDITIONING, INC.
City: Fort Pierce, FL State:_ Address: 116 North Lime Street
Zip Code: 34946 Fax: City: Fellsmere State:FL
Phone No.772-626-6782 Zip Code: 32948 Fax:
E-Mail: Phone No 772-713-9997
Fill in fee simple Title Holder on next page(if different E-Mail zamarripa902@gmaii.com
from the Owner listed above) State or County License CAC1817681
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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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x 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 FIRF INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YQAUR LkNDIEROR AN ATTORNEY BEFQW RECORDING UR NOTICE OF COMMENCEMENT."
Signat a of ownbrrs o 'c r a6geriffor Owner Signature of ntractor/License older
NS ATE OF FLORIDA STATE OF FLORIDA
C UNTYOF 9-0W4Aj COUNTY OF .20-A'aN Asv&4—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 20 day of StPr&ia Et. 20 l9 by S this 2p day of sease� t� 20 /l by S
y
E3JT N- Mcceiv -0 ..f hA00 ,�Mf�Les?4 •
Name of person making statement. Name of person making statement.
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X
Personally Known i/ OR Produced Identificati n x X Personally Known ✓ OR Produced Identification ,.
Type of Identification 7V" Type of Identification m
to
Produced m Produced
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(Signatuye of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) ►lt
Commission No. F Fl g7124 (Seal) is o Commission No. f-t`i X91 i�� Seal
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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