HomeMy WebLinkAboutBuilding Permit applicationDate: 1118/19
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 33982
Phone: (.772)462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE: Mechanical - A/C Change out
PROPOSED IMPROVEMENT LOCATION:
Address: 7606 DEER PARK AVE
Property Tax ID #: 1301-605-0028-000-6 Lot No. 2
Site Plan Name: McDonald Block No. 41
Project Name: McDonald
DETAILED DESCRIPTION OF WORK:
4 TON, 17.25 SEER SYSTEM: M# AL1 9134821, M# AVC48CX21, 10KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check ali that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2637
Cost of Construction: S 7300
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor: 1750
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DOUG t,MCDONALD Name: JOSHUA ROBERTS
Address: 7605 DEER PARK .AVE Company: AIR DOCS OF THE TREASURE CORS T JNC
City: FORT PIERCE State: _ Address: 866 12TH AVE SW
Zip Code: 34951 Fax: City: Vero Beach State: F
Phone No. 772-321-8619 Zip Code: 32962 Fax:
E-mail: DOUG24600,1,HOTMAIL.COM I Phone No 772-713-7716
Fill in fee simple Title Holder on next page ( if different 1 E -Mail AIRDOCS_ADM C YAHOO.COM
from the Owner listed above) State or County License RA13067525
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.
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DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: i 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 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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Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF - �' I
COUNTY OF INDIAN RIVER
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The forgoing instrument was acknowledged before me I
The forgoing instrument was acknowledged, before me
this 8 day of NO4'EMBEF. 20 "' by
I this 8 day of NOVEMBER , 20 " by
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Name of p son making statement.
Name
Name of person making statement.
Personally Known OR Produced Identification X
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Type of Identification
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