HomeMy WebLinkAboutBuilding Permit Application:I
AII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. a92412019 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2 j1A Virginio Avenue, Fort Pierce FL j4982
Phone: {172\ 462-L553 Fax: (772\ 462-1578 Commercial Residential
PERMIT TYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION: 5362 DUNN RD FOTI PiCTCC, FL 34981
Address: 5362 DUNN RD Fort Pierce, FL 34981
Property Tax lD #:3403-5A2-0220-000-5 Lot No 118 &119
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
CHANGE OUT LIKE PER LIKE OFi
CONSTRUCTION I N FORMATION:
Additional work to be performed under this permit - check all that apply:
\l$echanical
_ Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters _ WindowsfDoors
Total Sq. Ft of Construction:Sq.
_ Generator _ Roof _ Pitch
Ft. of First Floor:
Cost of Construction: S 3600 00 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is S25OO or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
N6msJOHN CIRJARU
466pg55.5362 DUNN RD
CitV' FORT PIERCE t u,",
ZiP Code: 34981 Fax:
phone y16.7723328217
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
rysyns' FRANCISCO GUERRERO
Company:A/C TODAY
Address: P.O. BOX 2916
City:OKEECHOBEE StAtE: FL
ZiP Code: 34973 Fax:
phone po8637631025
s-;yri1 ACTODAYI NOKEE@GMAI L. COM
State or County License9ACl919079
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
zip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Phone:
FEE SIMPIE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 repre.:entation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls ln conrllct wlth any applicable Home Owners Assoclation.rules, bylaws or and covenants that may restrict cir prohibit suchstructure. Please consult with your Home owners Association and review'youi aeeO foi any iestriCti<jnivitriih'mjv.[piv.'"''
ln consideration of the granting of this requested permit, I do hereby agree that I wlll, 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
((WARNITTIG TO OWI{ER: YOUR FAILURE TO RECORD A NOTTCE OF COMMEIWEMENT MAY RESULT IIT YOUR PAYING
TwlCE FOR IiIPROYEMEIUTS TO YOUR PROPERTY, A NOTICE OF COMMEiICEMENT MUST BE RECORDED AND
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
couNrYoF l*-. LUtc{_
The forgoing instrument was
this 24 day sf SEPTEMBER
Personally Known _ OR Produced ldentification
Type of ldentification
Produced DRIVERS LTCENSE
Name of person making statement.
STATE OF FLORIDA
iouruw or tf .-Lt{Cre -
The forgoing instrument was acknowledged before me
this 24 day of SEPTEMBER
Personally Known _ OR Produced ldentification
Type of ldentification
Produced DRtvER LICENSE
Name of person making statement.
Bo.d6d Ihru Nobly Rtblic t idfrifocEXPTRES:ApIi 22.2ffi1
VEGETATION
REVIEW
City:
Zip: _
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT|ON. rF yOU titrEitD TO OBTATN HrUANCIruc, CONSULT
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Commission No.
REVIEWS FRONT
COUNTER
ZONING
REVIEW -af
SUPERVISOR
REVIEW
PLANS
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
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DATE
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