HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/16/2019 Permit Number: I
DECEIVED
-- - Building Permit Application GEC.16 2019
Planning and Development Services
Building,and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LO 4 ION:
Address:- 1864-Walden Pond Dr. Fort Pierce, FL 34945
Property Tax ID#: r� Z I I y ��;a- X00- Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION.OF WORK:
Replacement of a 3 ton split system.with 10 kW heat; like for like; 14 SEER
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 _Generator —Roof Pitch .
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3335 Utilities: —Sewer _Septic Building Height:.
OWN ER/LESSEE: CONTRACTOR:
Name Carol Staniewicz Name-James J Wauters
Address:1864 Walden'Pond Dr Company:Just Chillin'HVAC LLC
City: Fort Pierce, FL State:_ Address:5422 NW'Cromey St
Zip Code:'34945: i Fax: City: Port St. Lucie State:FL
:ry a
Phone 1\10561.-935,8951%, Zip Code: 34986 Fax:
E-Mail: Phone N' 772-940-4373 -:w-:-�
Fill in fee simple Title'Holder on next page(if different E-Mail justchillinair@hotmail.com.
from the Owner listed above) State or County License CAC1819351
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 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,iri 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."
Sigrt6ture of Own r/Lessee/Contractor as Agent for Owner nature of ontractor/License Holder
STATE OF FLORIDA �
STATE OF FLORIDA
COUNTY OF �f COUNTY OF
The forgoing instrument was acknowledge before me The forgoing Inst ent was acknowledged-before me
this�day of I 204 by this day of 20
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Name of person mak7OR
tement. Name of person makir}g statement.
Personally Known. Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N to - (Signature of Notary Public-State o Florida)
�� KAREN S. NIELSEN
Commission No. ;`��P �'=S to of FI(5QW)Notary Public Commis oqKAR
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Commission # GG 207484 NIELSEN
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of Florida-Notary Public
June 12, 2022 9 oc
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REVIEWS PLAN �' ATION Ju ss�,-�41�`ee$ ANGROVE
COUNTER. .. . REVIEW, REVIEW REVIE REVIEW..
DATE
RECEIVED
DATE
COMPLETED
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