HomeMy WebLinkAboutBuilding Permit Application JAN/03/2020/FRI 01 ;31 PM FAX No. P. 001
All APPLICASLV INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: NAM Permit Number: � �O
FnJAN
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Building Permit Applicati3 2019Planning and,Development ServicesBuilding and Code Regulation Division ty, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential
PERMIT TYPE., V
Address: 6663 YedgraaAAve
-yFort
Pierce, FI 34951
Property Tax ID##: 1"JI JL�J' \1 L/1./�Jy Lot No.
Site Plan Name: Block No.
Project Name:
3.5 Ton 15 SEER Straight Cool Split System
10 KW Heater
Like for Like
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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:$ 7500 Utilities: _Sewer ,_,Septic Bull ding Height:
NameJulla Morrison __ Name,Robert Marcelle
Address:6663 Yedra Ave ^- Company:Comfort Experts USA Inc
City: Fort Pierce State: Address:664 NW Enterprise Dr.Unit 120 -
Zip Code: 34951 Fax: City. Port Saint Lucie State:FI
Phone No_608-335-2070 Zip Code: 34986 Fax: 772-873090
E-Mail: Phone No772-873-3000
Fill in fee simple Title Halder on next page(If different E-Mail ckongerl4@gmall.com
from the Owner listed above) State or County LicenseCAC1814439
If value of construction is$2500 or more,a RECORDED Notice of Commencement N required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
JAN/03/2020/FRI 01 ;31 PM FAX No, P. 002
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.
1 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,l 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 FAR.URE 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, F YOU INTEND TO OBTAIN FINANCING, CONSULT
WI H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of_Own er/ a/Contractor as Agent for owner Signature of Contracto L' a se Holder
STATE OF STATE OF FL
COUNTY OF FLORIDA �� + !t 2) C UNTY OF ORIQA n,�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledg before me
this s day ofmry .20 by this S. day of January 2 by
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
P r0 ced Drivees Licanse Pro ced Driver's License
(Signature of Notary:Publ � °� ERINE MILLS ignatureofNo1GG171'1'1'
State of Florida-Notary Pub is .•�i�"°j �. C ERINE MILLER
Commission No.GGzya3�s �• '= C _%W glom#GG 27331 State�f��q,ride Notary Puhtl
, mmission No. - •� Conon#G6 27331 S
y Commission Expires November 01,2022 + rnNMy Commission Expiresires
Move bor0l,2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED.
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