HomeMy WebLinkAboutBuilding permit applicationAll APPLIC INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q
Permit Number:
1
Planning and Development Services Building Permit Application
Budding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
IMPROVEMENT
Address: 20 La Villa Ct Fort Pierce, FI 34951
Property Tax ID #: 1301-500-0607-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
2.5 Ton 15 SEER Straight Cool Split System
5 KW Heat
Like for Like
CONSTRUCTION INFORMATION:
Additional work to be performed
_Mechanical
_ Electric
N:
under this permit— check all that apply:
_ Gas Tank
_ Gas Piping
_ Plumbing _ Sprinklers
Total Sq. Ft of Construction -
Cost of Construction: $ UI fL_� Sq- Ft. of First Floor:
Utilities: _Sewer _ Septic
_ Shutters
OWNER/LESSEE:
Name Christine Yorek
Address:20 La Villa Ct
City: Fort Pierce
34951 State:
Zip Code:— Fax:
Phone No.772-465-8746
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
_ Generator
Residential \
Lot No.20
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
CONTRACTOR: --
Name: Robert Marcelle
Company: Comfort Experts USA Inc
Address:664 N rprise Dr. Unit 120
City: Port Saint Lucie
Zip Code: 34986
Phone No772-8 003 37 0
State: FL
Fax: 772-873-3090
E-Mail ckongerl4@gmail.com
State or County Licens CAC1814439
e
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
Name: —
MORTGAGE COMPANY: Not Applicable
Address:
Name: —
City:
Address:
Zip: Phone State:
City:
State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
BONDING COMPANY:
Address:
Not Applicable
Name: —
City:
Address:
Zip: � Phone:
City:
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.
which is incontli makes ih anrepresentation alHome at is Owners Asssociat nlr es,aby aws or andpco elnantsthat maly restrisubject
t or proh bit 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 THE JOB SITE BEFORE THE FIRS
WITH YOURR LENDER OR AN ATTORNEY BEFORT INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
E RECORDING YOUR NOTKE OF COMMFurrucmr ,
ISignature of n r/ Lessee/Contractor as Agent for Owner
STATE OF FL RIDA S� . (���
COUNTY OF l
The forgoing instrument was acknowled before me
thi 31 day ofJanuary by
o oy l l-p
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced DnVara Llcenae
(Signature of Notary Public -State of Florida)
Commission No. GG13315
(Seal)
Signature of rntractcr/License Holder
STATE OF FLORIDA COUNTY OF �� i I In',
The forgoing instrument was acknowledggt( before me
this 31 day of January (�
�, 0_ by
Mi i�i
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced Driers ncenae
&Ionda
(Signature of Notary Public- State of
Commission No. GG273315 (Seal)
REVIEWS FRONT ZONING I SUPERVISOR I PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW RF\/IF\A/ MANGROVE
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rrrni�� I REVIEW