HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1/19 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
PERMIT TYPE: Redace a 3T AC System
PROPOSED IMPROVEMENT LOCATION: --------
Address: 229 Nettles Blvd, Jensen Beach
Property Tax ID #: 450250104150003
Site Plan Name: David Webb
Project Name: Flynn's AC
Replace a 3T, 14seer AC system with a 8KW HTR
Lot No. 229
Block No.
— _ —T--------- ._- --
Ct 'NSTI UCT S N 1NI=ORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: Cost of Construction: $ '-7 z � 0
Name David Webb
Address: 229 Nettles Blvd
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No. 772-201-3754
E-Mail:
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph Flynn
Company: Flynn's AC
Address: 1323 SW Thelma St
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No 772-283-4114
E-Mail mjb@flynnac.comcastbiz.net
State or County License CAC055482
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.
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Sign atu reovftwner/ Less e Contractor as Agent for Owner
S!5,riafure of Con ctor/License Holder
STATE OF FLORIDl,�
COUNTY OF �i
STATE OF FLORIDA 4-�
V"-
<<yl�l,'\,\
COUNTY OF
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
this _( day of20_ by
this J day of N(4 0( .Ub'`.20 by
y \
Name of person aking staterrilmt.
Name of pers'Wril making statemen
Personally Known OR Produced Identification
Personally Known X'� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
J
(Signature of Notary ublic- tate loridR4�eJ, Bra,,,n
(ignature of Notary Pula c- State of Florida )
NOTARY PUBLICheie
Commission No. VJ&TEOFFLORIDA
Commission No. &OINK
PUSUC
Cortsr
Oil (2090
STATE O FLMDA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TUAlVres
33fi
tWNRMOVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.9/26/18