HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:4944-20+9– �' o�)' Permit Numbe
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- NOV 21 2019
BuildingPermit A lic
PP PM, itting Department
Planning and Development Services St. Lucie CC,1 Li n t
Building and Code Regulation Division �, �
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTVPE: MECHANICAL
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;; p# UPOSED:IMPROI/EMI LOCATI,O,,CU az .. ...
Address: 9650 SOUTH OCEAN DRIVE UNIT 1905 JENSEN BEACH FL 34957
Property Tax ID#: 4502-610-0175-000-3 Lot No.
Site Plan Name: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1905(OR 495-2188:626-2567:1428-720) Block No.
Project Name: MADELINE ROMAN
DETAILED 60CR PTION�
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4 TON WATER COOL SYSTEM - A/C CHANGE OUT
NSTRCICT(ON IN)`ORVIAfiION . : ,
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: Sq. Ft.of First Floor:
Cost of Construction:$ 6850.00 Utilities: —Sewer _Septic Building Height:
OWN>"R/LE55EECONTRACTOR r
Name MADELINE ROMAN Name:CRAIG CANTRELL
Address: 9650 SOUTH OCEAN DR UNIT 1905 Company:AMTEK AIR CONDITIONING, INC.
City: JENSEN BEACH State:_ Address:571 NW MERCANTILE PLACE B12
Zip Code: 34957 Fax: City: PORT ST LUCIE State: FL
Phone No.772-229-9663 Zip Code: 34986 Fax: 772-773-7070
E-Mail:N/A Phone N0772-237-5254
Fill in fee simple Title Holder on next page(if different E-MailADMIN@AMTEKAIR.COM
from the Owner listed above) State or County License CAC1816639
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.
SUFFLEMENTAi:�CONSTRUCTION LIEN4LAW INFORMATION; 3 � ��`� �� �� � �� �
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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 JOB SITE BEFORE THE IRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN L% EIFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature wner/Lessee/Contractor as Agent for wner Signature of Co ctor/License Holder
STATE OF FLORIDA S / STATE OF FLORIDA '
COUNTY OF ST
l,!/ ['�c�Qi COUNTY OF STLuaE g — b.4 MR--.j
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,gday of OCAD\M.( 206 by this 16TH day of OCTOBER 20 19 by
(x'Q,t re r.A n / CRAIG CANTRELL
Name of person making statement. Name of person making statement.
Personally Know OR Produced Identification Personally Know;4� OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State F� � I of Nota Public-State of 141 °a'• LER
��state of Florida-N t Pbw Notary ��c State of Florida- ry Public
//''++ _• •= Commission# G 202177 I °+ •_= Commission# 202177
Commission No. V� My commissio ft"ifftsi NoC l My commissi Expires
'/���iiiiN`��� April 01, 022 °j�nin+``� April 01, 2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
rev.217/19