HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��'
Date: 2/19/2020 Permit Number:
REC
-`; _ ,; �4_ EIVED
FEB 191010
Building Permit Application.
tti
Planning and'DevelopmentServices Pe St Lud Department
Building and Code Regulation Division e County
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 3904 Avenue Q
Property Tax ID#: 2405-601-0175-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 2.5 ton split system with 7 kW heat; like for like; 14 SEER
-CONSTRUCTION INFORMATION:
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:$ 3600 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David Scott Name:James J Wauters
Address:4006 Avenue R Company:Just Chillin' HVAC LLC
City. Fort Pierce, FL State:_ Address:5422 NW Cromey St
Zip Code: 34947 Fax: City: Port St. LucieState:FL
Phone No.772-216-9554 Zip Code: 34986 Fax:
E-Mail: Phone No 772-940-4373
Fill in fee simple Title Holder on next page(if different E-Mail justchillinair@hotmail.com
from the Owner listed above) State or County License CAC1819351
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 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.
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 NOTICE OF COMMENCEMENT."
Sig ature of ner/Lessee/Contractor as Agent for Owner S' nature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L 3-k COUNTY OF
The forgoing instrujBent was acknowledged before me The for oing instrument was acknowledged I fore me
this��day of 20y this day of ��20
r�MO� C`QA� PQmPI_1 (�1C�1�
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 Produced L —
..I
ELLEN VAUGHN
11111
(Signature o ,Nota _* nm Ln
270079 (Signature of No f f4a Notary Public
%q p My Commissxpires Commission # GG 270078
Commission No. °� °FFA°�` OCt eB p22 -- Commission No. �''� °PA�� My CommiSbal�Explres
Octob®r 22, 022
REVIEWS FRONT ZONING - SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19