HomeMy WebLinkAboutBuilding Permit Application 11/2512019 09:18 FAX zool
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All APPLICABLE INFO MUST`BE COMPLETED 1`00AW"119 BE ACCEPTED
'Date: 11/18/2019 Permit Number: tald,'
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Building Permit Applicatio ,f L�Q
Planning and DevelopmentServ/ces o
Building and Code Regulation Division
2300 Virginia Avenue,Fort'Plerce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential _
PERMIT TYPE: 6`' f
I HVAC
PROPOSED IMPROVEMENT LOCATION:
Address: 6014 Birch Drive Fort Pierce, FL 34982
Property Tax ID#: 3402!608-0185-000-9 Lot No.
Site Plan Name. Block No.
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Project Name-
DETAILED DESCRIPTION OF WORK: n
—Aonditioning Replaced [exact NO Duct Work, 14 Steer, 3.5 Tons a
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LCONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank i Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers _Generator Roof Pitch
Total Sq.Ft of Construction: 1,628 Sq. Ft.of First Floor:
Cost of Construction:$ 3,320.00 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Sunflre 3 LLC Name: Donald H Atkinson
Address:5001 Plaza On The LK Ste#200 company: Simply The Best AIC& Heat Inc.
City:Austin State: Address:3540 Jupiter Blvd Ste#5
Zip Code: 787461' _ Fax: city: Palm Bay 32909 state.
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Phone No. Zip Code. Fax,. 1-866- 11 45
E-Mail: Phone No 321-674-0777
Fill In fee simpleTitle Holder on next page(if different E-Mall bdownslg6i@i6loud.com
from the Owner]listed above) State�Rr County License CACO29431
if value of construction is$2500 or more,a RECORDED Notice of commencement is required.
If value of HVAC is$7,500 or mare;a RECORDED Notice of Commencement is required.
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11/25/2019 09:18 FAX Z002
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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 onflict with anyy-$$pplicable Home Owners Association rules,by+aws pr and covenants that may restrict or prohibit such
structure.Pease consult wittT 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:I YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING
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 FINANC NG, CONSULT
WITH YOUR LMER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
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gnature of Owner/Lessee/contractor as Agent for Owner SISKature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Brevard COUNTY OF Brevard
The forgoing Instrument'was acknowledged before me The forgoing instrument was acknowledged before me
this-21 day of November 20_& by this 21 day of.No-tuber 20AzL by
Donald H Alkineon Donald H Alklnson
Name of person making'statement. Name of person making statement.
Personally Kno Personally Known
UERORAMA. 0 t DEBORAHA.DOWNS
'type of Identifi 'type of Identlficati i
Produced Commiaston GG 033830 Produced • Commleslan#GO 033830
r 7 B,2020ea olrorobar 18,2020
Tit Vq Flamm kmw mtw 7019 I<andb ThN Trey Filbi 7019
(Signature of Notary Pub -State of Florida) (Signature of Ncifary Public State of lorida)
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Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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