HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Nat Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:. State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 OF COMMENCEMENT."
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Signature of Owner/ L see/Contractor as Agent for Owner
Signature of Contractor icense Holder
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Name of person making statement.
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Personally Known K, OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
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Commission No. "y�'""b
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/29/19
Permit Number:
Building Permit Application
Planning and Development Services,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTVPE:HVAC Mechanical AC Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 6704 Hulda Drive Fort Pierce FL 34951
Property Tax ID ft: 1301-611-0289-000-2
Site Plan Name: LAKEWOOD PARK -UNIT 9-BLK 114 LOT 15 (MAP 13/01 N) (OR 1565-1753; 2142-1695
Project Name:
Lot No.15
Block No. 114
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install RHEEM 3 TON 16 SEER, 10 KW HEATER, Straight Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X-Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4,700.00
Sq. Ft. of First Floor:
Utilities: -Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameAntonio Velez
Name: Kelly Certosimo
Address:6704 Hulda Drive
Company:AIR TEMP AIR,CONDITIONG, INC.
City: Fort Pierce State: -EL
Zip Code: 34951 Fax:
Phone No.772-370-4114
Address:1384 NW Commerce Centre Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772-340-0740
E-Mail: anthony_velez5@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail airtempac@yahoo.com
State or County LicenseCAC1814837
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.