HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/17/2019 Permit Number: 5 q,
` w.:.GO`; RECEIVED
-- -- - Building Permit Applic tionDEC 17 ?.9'9
Planning and Development Services ST. Lucie County, Permitting
Building and Code'Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: v
PROPOSED IMPROVEMENT LOCATION:
Address:4005 Avenue S Fort Pierce, FL 34947'
Property Tax ID#: 2405-601-0145-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a'2-1/2 ton split system with 10 kW electric 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:$ 3745 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David R Scott Name:James J Wauters
Address:4006 Avenue R Company:Just Chillin' HVAC LLC
City: Fort Pierce, FLState:_ Address:5422 NW Cromey St
Zip Code: 34947 Fax: City: Port St. Lucie State:FL
Phone No.772-216-9554 Zip Coder 34986 Fax:
E-Mail: Phone No 772-940-4373.
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 thepermit 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."
Sighature of O er/Lessee/Contractor as Agent for Owner Signature of Co tra or Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sar. COUNTY OF '-'-*. %e
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _day of tc 20�� by this AnL day of D5L C 20A by
^Sgrnss b �aJ-�• @.T .��-JY��S �c�J�R�s
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 -T-%,, Produced
(Signature of Notaryublic-State of Florida) (Signature of No.� GIVENS
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REVIEWS FROM ••;E;;; ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNT W REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19