HomeMy WebLinkAbout7489 PINE LAKES BLVDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1111412p19
•
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE:AIR CONDITIONING EXACT CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7489 PINE LAKES BLVD
Property Tax ID #: 3422-596-0007-000-6
Site Plan Name: PINE SUMMIT
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
EXACT CHANGE OUT OF 2 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
Total Sq. Ft of Construction:
Cost of Construction: $ 2412.50
Generator _ Roof Pitch
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: t✓L
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 No561-313-0490
E-Mail INFO@AIRPLUSFL.COM
E-Mail:iNFO@AIRPLUSFL.COM
Fill in fee simple Title Hoider on next page (if different
from the Owner listed above)
State or County LicenseCAC1815149
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Horne 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."
1
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Signature of ner/ Lessee/Contractor as Agent for Owner
Signatur of Co tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PALM BEACH
CO U NTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this 34 day Of NOVEMBER 2OA by
The forgoing instrument was acknowledged before me
this 14 day of NOVEMBER 20IA by
Ro -�f IZA c H e ArJ
JZQRN4 12A PZt+ne,-r\)
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
--
--
(Signature of Notary Public- State of Ft6rida)
of Notary Public-FF
976919 licState of Florida
No. (Va 41e Ali-Amrai
a My Cc mission . F 578919
v ,. x zres D313Ui202f1
J�Onature
¢ar °�Notary P blic State of FloridaCommission
mission No. FF976919 �� C4rised li-Amrai
c My Commission !�F 976919
. ' rgOF'FtOV- Expires 03l31ii202.0
REVIEWS
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19