HomeMy WebLinkAbout7763 PINE LAKES BLVDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11114/2Q19 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
PERMITTYPE:AIR CONDITIONING EXACT CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7763 PINE LAKES BLVD
Property Tax ID #: 3422-596-0007-000-6
Site Plan Name: PINE SUMMIT
Project Name:
I DETAILED DESCRIPTION OF WORK:
EXACT CHANGE OUT OF 2 TON A/C UNIT
GOODMAN.. 14 SEER
5KW
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 2412.50
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RORY RAMCHARAN
Name:RORY RAMCHARAN
Address:6810 COUNTRY PLACE RD
Company:AIR PLUS OF SOUTH FLORIDA INC
City: WEST PALM BEACH State: -Of
Zip Code: 33411 Fax:561-557-7468
Phone No.56T-313-0490
Address:6810 COUNTRY PLACE RD
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax: 561-557-7468
Phone No561-313-0490
E-Mail:INFO@AIRPLUSFL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail INFO@AIRPLUSFL.COM
State or County LicenseCAC1815149
If value of construction is 5Z500 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 LAIN 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:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
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 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat re o ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY OF PALM BEACH
CO U NTY O F PALM BEACH
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14 day of NOVEMBER , 2Q� by
this 14 day of NOVEMBER Z Ioj by
LDPW Lft RICH rJ
Name of person making statement.
Name of person making statement.
. � �. •;ram
Personally Known x QP,,ProgPWrlWp iqR
Personally Known x OR Produced Identification
Type of Identification t,. Czmille Ali-Amrat
Type of Identification
Produced _a` My commission FF 976919
Produced
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(Signature of Notary Public- State of Floridan �N+.
Signature of Notary Publics#aefic,}�,+„
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Commission No. FF916919 (Se94Ah-Ararat
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_. <p ses 0"s130; 2020
� p� r t74 Expires 03/3022020
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19