HomeMy WebLinkAboutPermit App 5544 Spanish River RoadAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/17/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 5544 SPANISH RIVER ROAD
Property Tax ID #: 1312-502-0114-000-4 Lot No.
Site Plan Name: Block No.
Project Name: JOHN AND JACQUELINE ROJAS
DETAILED DESCRIPTION OF WORK:
I
HVAC LIKE FOR LIKE CHANGE: OUT -- 4 TON 15.00 SEER 10 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical , Gas Tank _ Gas Piping Y Shutters
Electric _ Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5928,00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN AND JACQUELINE ROJAS
Address:5544 SPAN ISH RIVER ROAD
City: FT PIERCE State:
Zip Code: 34951 Fax:
Phone No. 973-862-3475
Name: FREDERICK MILLER
Company: MILLER'S CETRAL AIR, INC.
Address. 673 SW CARTER AVE.
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax: 772-344-6480
Phone No 772-785-8080
E-Mail OFFICE@MILLERSCENTRALAIR,COM
E-Mail:
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
State or County License CAC058675
IP vdiue ai Lunstruction is �,Lnpuu or more, a KtLUKUtU 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 -
OWN ER/ 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, 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 con currency review: roam 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. 1 OU INTEND TO OBTAIN FINANCING, CONSULT
► l YOU9 LENDER OR AN ATTORNEY BEFORE RECORDING YQUR NOT_WE OF COMMENCEMENT."
Az�l
Signatur of Owner) Lessee/Contractor as Agent for Owner Signature of Contractor/
License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ' C►
COUNTY OF _ ;�• LLLu L
The f rgoing instr ent was acknowledg d before me
this � day of 2q�Q by
The rgoing instr ment was acknowledg d before me
�
,
this day o