HomeMy WebLinkAbout7624 PINE LAKES BLVDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1111412Q19 Permit Number:
lit
" lmi,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:AIR CONDITIONING EXACT CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7624 PINE LAKES BLVD
Property Tax ID #: 3422-596-0007-000-6
Site Plan Name: PINE SUMMIT
Project Name:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: 1
EXACT CHANGE OUT OF 2.5 TON A/C UNIT
GOODMAN.. 14 SEER
5KW
CONSTRUCTION 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: _
Cost of Construction: $ 2678.50
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRORY RAMCHARAN
Name:RORY RAMCHARAN
Address:6810 COUNTRY PLACE RD
Company:AIR PLUS OF SOUTH FLORIDA INC
City: WEST PALM BEACH State:
Zip Code: 33411 Fax:561-557-7468
Phone No.561-313-0490
Address:6810 COUNTRY PLACE RD
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax: 561-557-7468
Phone N0561-313-0490
E-Ma4l:INFO@AIRPLUSFL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail INFO@AIRPLUSI=L.COM
State or County License CAC1 815149
It value of construction is 5Z599 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 certifythatno 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 Herne 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."
Signature of 0iwnb4 Lessee/Contractor as Agent for Owner
Signatu e o ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPALm BEACH
COUNTY OFPALM REACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged efore me
this 14 day of NOVEMBER 20A by
this 14 day of NOVEMBER 20—ff by
ADEL4
RD 02-14
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
ttz
(Signature of Notary Public- State of Florida
nature of Notary Public- t f I` r'
Not�ry Public State of Florid
Commission NO. FF976919 o� Gr(S@§I
A isle Ali-Amrat
M^ My Commission FF 97691P
o,xY Fuae Notary Pul tic Stage of Flasida
C mission No. FF9T6919 a n Ali Arrirai
C2, c i41y Commission FF 97f911)
<< o
II -I Lo' Expires 03130i2420
s'fiaFf�o4 Expires 03l36i'202d
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19