HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: 10/1412019 Permit Number: l�lJf
RECEIVED
Building Permit Application OCT 14 2019
Planning and Development Services Permitting Departmc= r
Building and Code Regulation Division Pt; �Heie Coi= '
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 308 Holly Ave
Legal Description: RIVER PARK-UNIT 2-BLK 19 LOT 25(MAP 34/22S)(OR 1290-563;4241-2906)
Property Tax ID#: 3419-510-0256-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Rappa
Setbacks Front Back: Right Side: Left Side:
3C b# OSUVORK- X �v. V
Change out residential air conditioning system with a Champion system like for like;
TC7B3621 S; AE36BX21; 10 KW Heater
3 � K . 2
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Additional work toe er orme un er this permit—check a app y:
HVAC 1,Gas Tank Das Piping _Shutters a Windows/Doors
Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 4350 Utilities., Sewer a Septic Building Height:
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r CONTRaCTORs
Name Richard Rappa Name: David Kruse
Address:308 Holly Ave Company: AC Doctors Inc
City: Port Saint Lucie State:FL Address: 1853 Biltmore Street
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No. 772-3443944
Fill in fee simple Title Holder on next page(if different E-Mail: acdoctorsinc@gmail.com
from the Owner listed above) State or County License: CAC058461
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
To:Saint Lucie County Building Department Page 4 of 4 2019-10-14 13:36:02(GMT) 17726735762 From: DAVID KRUSE
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3 DESIGNER(ENGI(VI:ER Not:Alrpllcable. MORTGAGE.COMPANY Not App(rcable
fVame:r; i,a� pr NarnP:david Kase
30$rieh Aar. . ..Add
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City r9{S tRtruSP .... ... St4rte r-r,. City. PorisainiLucia
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PEE-SIMPLE'TITLE HQLQER:. :Not Applicable' 00NIJIN.G COMPANY. ^blot ApplIca f�le
Name., Na'
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Address;irSS3.ailimorPSiraat : .'Ad
City City:
'.Zip, Phone: Zip: Phone,
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01hF.NERf CO ITRACTOR:AFFII�V(T Appflca#ronrs.herpby.made to.01ifairi Permit_tc�do 0w work and,installation as indicated.
i.certify that.no work or hist llatrvt#.lta$comitiensed:pr arts:tine Issuance ofa Permit:., 1
L.
Lucie Co�inty makes no;Cepres2ntation that is grsnfing a permit yviN authorize the permit holder io..build the sut23ect structure•
^.vltictt is in.con ict:.with any'applicable:.Home Awners,Assocrat:art.rules;.byla;vs Oran covenaots:th.eviray•restrict or prohibit:such .
structure.Plea
car}sulk.svitlt.youd:tinn)e:OtvnersAssociation and revi6 your.deed for.any.restrictions w Ich may:apply,
In consideration of the granting of`this.:•equested permit;Fdo hereby agree that l:vlili, =!T)ents.,pects,perform the'work:
in accordaizc.e v.ith'tKe approved plaits,thQ Florida Building CQd-s and:S-, Lucie 6unty
The UIo' wingouilding permit-applications are exeinp.t:froin.underr ging:a:full concurrer cy ievi +u;room additions-
.
auessory.structures,swimmin;.pools;fences,.%valis'signs,;screen rooms:and accessory uses to another non-residentiai use,
-WARRING TO'OWNER:Your failure to Record a Native of.Camrrre,ncernent may result im.your paying twice for
im p,ovei etits to your property,:A iVotlee of Corr menc.errien..t,must. . recnrde�l ani posted on the dol site
iiefoce the fErst.ir spe i n If you:intend.:to am:flnaricin ,.eansu{t:LVIth lend6r or an attorney pefore :
commene..in .work:or.reeordirr,Vyour Nottce:af torrrrrreric>rtnerit:
I Signature•of Ctiutier/Lessee,!f antfactor as agent for:4tivner.W� Signature afContractor/License fio►der ' '
STATE OF:FLORIpA STATE{7F FLORIDA",..
cauNT ,oF r~:`� ;: I cool TMr F:. L:,,. fs(1-
E Tlie.for oing.instruirient.was acknooledged b6fore..me The Eorgoing.ins'r.Ul rent:was:ackriowledged:before.me.
this 'day of fico^ +� r ''20,1' by .hrs �cia -of Q_A i,� s 20 by
r 777777 7
Nai. of person akmgstatement Nar te.of persorn)taking statement
$ gersonafiy Krantnrn 0R Produced Identifrcatron Personally Kngw CiR.Produced fdentpficatian
l Type of Wentif cat on'- Type-of identification
Produced Produced
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(Signature.p`Notary-Public-.State of FJorrd y' Reechel'..Fer (Signature of Notary Pciblrc State or F ...oda 1 Raechel Ferry
i a�OTARY PUBLiC :
s OTARYPi1ELIG.
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Commission Nn f-i `..,d : a 'STATE:QF.FLO lvi=fj 1'io6�_33t _ 1_RTi*L3F ELORIC a?
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REVIEWS FRONT i ZONING SUPERVISOR' PLANS GjEGLTATION SEA r 13RTLf 141ikNGiiflVE
C-OUNT�Ft Ft1 VICUU ftEVI W REVIEW REVlL r1 i... .REV1;:W i OV.IEW i
DATE 1 _.
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RECEIVED t
DATE' ., .. .. I
SCO PL i TED -
Rev:..�J2j17. : . '. .. _..
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