HomeMy WebLinkAboutscanemailsharp@gmail.com_20200114_111138All APP I AB IFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
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: 'Ctmme I��(+ S, r'm
PROPOSED IMPROVNENT LOCATION: Ty.A
Address: 10110 Gaslight Ct Fort Pierce, A 34945
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
3.5 Ton 14 SEER Package Unit
10 KW Heat
Like for Like
CONSTRUCTION INFORMATION:
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
Total Sq. Ft of Construction: _
Cost of Construction: $ 5800.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vivian Gehriager
Name: Robert Marcelle
Address:10110 Gaslight Ct
Company: Comfort Experts USA Inc
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.772-834-1286
Address:664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-873-3090
Phone N0772-873-3000
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailckonger14@gmail.com
State or County LicenseCAC1814439
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 I BONDING COMPANY: _Not Applicable
Aaaress: Address:
City: City:_
Zip: Phone: Zip:
V W NtK/ CVN I KAL fCIR 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 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 NnTR'F nF rniiiimp irFrFNr"
Signature of Owner/ fes ee/Contractor as Agent for Owner
Signature of Co t actor/License Holder
STATE OF FLORIDA S� I 1 I
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The forgoing instrument was acknowled before me
The forgoing instrument was acknowled before me
this 14 day of January .2 by
this 14 day of Jan.ary 2040 b y
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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 Driversucesne
Produced Drivers Li sne
(Signature of Notary Public- Stateo
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