HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/04/19 Permit Number:
•• ication
DevelopmentPlanning and Building and Code Regulation •
00 Virginia Avenue, Fort Pierce FL 34982
CommercialResident
PERMIT TYPE; Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4180 N. A1A Unit 901E Hutchinson Island, FL 34949
Property TaxID #: 9423-506-0120-000-2
Site Plan Name: OCEANIQUE OCEANFRONT
Proiect Name:
HVAC Change Out
Cond unit 4TTR4060 5 Ton 15 SEER BTU K000
Air Handler TEM6AOD60 5 Ton 15KW
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:
Sq.
Ft. of First Floor:
Cost of Construction: $ 6500,00
Utilities:
—Sewer —Septic
Building Height:
OWNER/LESSEE: !
CONTRACTOR:
Name Harold Watsky
Name: Mark Matakaetis
Address: 4180 N.A1A Unit901B
Company: Barker Air Conditioning
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No.
Address: 1936 Commerce Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-5340
Phone No 772-562-2103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Jenniferbarkerac@gmail.com
State or County License CAC057252
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: x Not Applicable
MORTGAGE COMPANY: f_ 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 IMPROVEMENT TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T E JOB ITB BEFORE THE FIRST INSPECTION. IF YOUI TEND TOO Tp N FINANCING, CONSULT
WITH YOU E DE A TTORNEY BEFORE RECORDING YO O . CE OF CO E MENT."
X/
LIL4
Signature of Owner/ Less a/Coritr., ctor as Agent for Owner
Signature of Co tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this'L day of 4.E', 20L by
this Ij>i day of iJ. -<u 20.1 ' by
y
i�Y ,%"It Y1
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known , OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signa re of Notary Public- State of Florida)
(Sip(Sip a Notary Public State of Florida )
Commission No. ' i z ( �q$�(ERGINAUDLORESCRISANT
ommission No. ; i" `' `t��- fl """� )gi�ADOLORESCWSANf6
MY COMENISSION 8 FF994031
EXPIRES: May 18, 2020
My CONMSSION 9 FF994031
orrv�
CXPIRES: Ma IS 202
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