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Home My WebLink AboutRAUH PERMIT APPLICATIONALL APPLIC . LEI<\IFO UST BE COMPLETED r..h D i �� R APPLICATION TO Date: BE ACCEPTED _ Permit Number: Planning In Dettelopment Servlces Wldl�ng Permit Application Bull In and ode Regulation i i'slon 2300 Virgini Avenue, Fort Pierce FL 34982 ?' Phone: (77 462-1553 Fax: (772) 462-1570,1 Commercial PERMITA PLICATION FOR: Residential_ To Select"from dropbox, click arrow at the i end of line Address: l �1 y S, O CPR h" �1101 .... Legal Descrip on: �S LRr.d Property Tax Site Plan Nan, Project Name IZA�1A Setbacks Fi nt Back: _Right Side: i Left Side: 0.7 UNION L r, lurmeq undert is permit—clecca f�'KA HVAC app Y: i 'Ft', ri , , ,, Gas Tank ❑C ,< Piping Electric n _Shutterswindows/ Plumbing �JSPrinklers Total Sq. Ft of onstruction: J Generator Roof Cost of Constr ctlon: — S Ft. of First Floor: Utilities: Sewer ❑Septic Building a x n g Heig Name C I r u� "" a� & �i Address: � S. OC_ear.�i.� SG Name; J{�i1r� �v City: 3Gia Company:i ZIP Code: �i St''ie � Address61 GA Fax: =gip f Vrt Phone N0. City: r}LV E-Mail: ZIP Code, q53 FIII in fee situp a Title Holder on next Phone No. Fax: _lam page ( If di rent from �� NL r) 313 from the own r listed above) E-Mail; V1i }AN(or(c� bra W� State qr County License:Ca— 5b�?`i( If value of const uctlon is $2500 or more, a RECORDED+,Notice of Commencement is remd.e.. No. -11, 31 Name: ' -- .�11U�ltpplpW plie Y.R Narrm, AGECryMPANY: Address: I � Not Marne; City; ° tk Address. Zip: Phone: Staff; city. FEE SIMPLE MOLDER, Zip: Phone: _ _ Not Appl die 6ONOtNO COMPANY: Address: Name: _Not tatty: _ _ Address: Zip: Phone: — City: ----�^. Zip: I certify that n k or insta&rtinn has Gain mencadprlgrta the Issuanceaf SL Li�Gje,t:ntln ekes nn.�......_.,__ .. .. a permit. in considerati of the grandr4 of this r ^. • �aavraaaon and ravfew yau[delri foI. ny neslAcialarl Amy hlcH tt a °a ply, l In aEf4rdaned the a craved ant, eWFlo� g a E ��' afrenthet t wfil, hiiK respacl3, ppform the Ally pp d1rVCadtsandst WcfcCdvntywnutdments. Thef»liawingb It Perndt appool$ r,AlS are e,Ytmpt rn undergelrrg a fsdl concuRency [evltw: room addRlans, amessory strue res, iwlm ttinB Poots, Team, waKr cu , stre+n ,s andacGassory u$ts to wirooanother nomapsidemia! use 1VARNI me OoVour- Yaurfaituretaqecord'i.rtlptlteq{�tttmtnedmgst imp oyemen to yaUrproperty. A Notice of CgiTmas*f erlt must be recorded r and p stud it ttw John bef the N inspection. It tr tJ y PaYind twice t, com encln n ntend to ob_ Jn fviantif con uit wltAlender gran attornev hnfnra in r Natice of C'.anman ..., StA F ,{ ' R113A (/ '" "a, pure o. CotftfB a da Hold CAU 4 COU IQ OF RIDA 4 The{oc aingl this l da trunwotwas acktrant Ia n c .y e2lbap by thlls irkg'ft um ntwssad=wled64d hefoxd me . E 20z1,j b'! /`��' � ill, f Warne of pen Atowwlteggl -•t-- ^- }t t. l� % : _ INxme of passolt soma Jedging 1 ''� j F. I11enature of LaryPublh%Stateof do) {slgrieture df Netsry P Me-Stateof Hosld# P¢rsaaally K TYPaaf Identiq v/ OR P ;1: flan Prad=ed ItlentihragGn . Personalty Known Oft Prodwed Identlffestlon 0mrnlWon RcG 67 J7 fy j lypa of Idtrdif(eAllon Produced^ (sell)` atplst�wp�.�oK Comrrdspon Na, (2yo7,/sY"�i, {�rrtE , llevlsbd 071 5/2014 ' ' � DffiMAMaf1d�ri1 bars. Bmw Treselx4tll stroas r srrm py y��; E7pWEk •art Bagm nwdgp�: REVIEWS FRtSNT ZOrl SUPERVISOR COUNTER REVIEW REVI25V P"S VEGETATION 5EATURTLE MAt REVIEW QATE REVIEW REVIEW R£ CaMPLETE INMALS 1 NA License Numbers: Fort Pierce Service Center CAC056774 r cnc057400 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC0CFC032576 2576 ES0000336 EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO LI~ R A CONTRACT # O SALESPERSON 00"-e— DATE I - I -a tj STREET O S g - L CITY, STATE AND ZIP CODE Sg(-)4I- E-MAIL: I PHONE # 1 a _al fib_ x jOr� NOTES OPTION 1 OPTION 2 MANUFACTURER: AH MODEL: �r CU MODEL: MOTOR '3 COOLING STAGES SEER L TONS HEATER / f% KW SUBTOTAL: 3 (aS , 00 OTHER DISCOUNTS: .. I-) , UO GOI TOTAL INVESTMENT: J93�0 LkJ �H Installation shall include: ❑ New reinforced equipment pad ❑ Reconnect to existing lines 2�,Ptasrmit included Install new thermostat Im Install new H-stat Vertical ❑ Horizontal Filter Rack ❑ Stand 2nd Pan ❑ Vert ❑ Hanging Q� Attic ❑ UV paint 00 F Horz Shelf GT C/U Breaker Brand Size ❑ fHH Breaker Brand Size La Hurricane Brackets or Strapping ❑ foorrugated pipe ft. p� eet all code requirements plate system start up O year parts MFG warranty year labor BFS warranty ❑ year maintenance ❑ Crane service Installation does not include any duct work or line set unless specified on proposal. Drain cleaning or old line sets are not guaranteed. Maintenance must be performed at least once a year to system to honor part and labor warranty. Customer responsible for any condo association approvals on changes to HVAC systems. Method of Payment Accepted: O Check O Visa O Master Card O American Express O Cash O Financing O Deposit Card number Authorized Siai Exp. date Security Note: This proposal may be withdrawn by us if not accepted within 30 days. Billing Address Payment in full is due upon startup —All material is guaranteed to be as specified. All work is to be completed in a workmanlike manneraccording to standard practices. BFS will not be responsible for property damage when removing or replacing yourair conditioning system. Including but not limited to attic access, slaircases, floors, trim, wall, etc. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, and other necessary insurance. Ourworkers are fully covered by Workmen's compensation Insurance. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: /--' / 6 -' Signature AII sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser. . .. . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ■ . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ■ r . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ■ . . . . . . . . . . r . . . . . . . . . . . . . . . . ■ . . . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . r . . . . . . . � . . . . . . . . . .. . . . . . . bf __* 21 E)l - D!�>C70 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phone Not Applicable State: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: _ Not Applicable BONDING COMPANY: _Not Applicable Name,. Address: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: I certify that no work or installation St. Lucie County makes no representation which is in conflict with any applicable structure. Please consult with your In consideration of the granting in accordance with the approved The following building permit applications accessory structures, swimming WARNING TO OWNER: Your improvements to your Lucie County and posted with lender or an attorney Application is hereby made to obtain a permit to do the work and installation as indicated. has commenced prior to the issuance of a permit. that is granting a permit will authorize the permit holder to build the subject structure Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such Home Owners Association and review your deed for any restrictions which may apply. of this requested permit, I do hereby agree that I will, in all respects, perform the work plans, the Florida Building Codes and St. Lucie County Amendments. are exempt from undergoing a full concurrency review: room additions, pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use failure to Record a Notice of Commencement may result in paying twice for property. A Notice of Commencement must be recorded in the public records of St. on the jobsite before the first inspection. If you intend to obtain financing, consult before commencing work or recordinR vour Notice of Commencement. Signature of Owner/ Les STATE OF FLORIDA COUNTY OF '0ra- J!� Sworn to (or affirmed) and subscribed � Ph sicai Presence or this 1day of plGIB rr tractor as Agent for Owner before me of Online Notarization 2020 by Signature of Contractor/Li s der STATE OF FLORIDA COUNTY OF Swgrn to (or affirmed) and subscribed before me of h s Presence or Online Notarization this day of 2020 by Name of person making statement. Personally Known OR Type of Produc Mellnew Le61ar3e yam.. MVComm�aonrr:?OStya Produced IdepOcAtion g Name of person making tatement. ersonally Known _Ik<� OR Produced Identification Type of Identification •Svc TINAA STEWARD p�; IValery Public- stateo1FitJ'n (Signat Commission No. 4 G4:" QSiJ F (Seal) (Signature of N ary Public- State Z5 _ *Y Can_ EWi Dec *5. �qBonded lhrouyh National Notary Commission No. 1YI1%Z 3� / REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DAIt COMPLETED e v.