HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/25/20 Permit Number:
s= • ' ermit Application
DevelopmentPlanning and Building and Code Regulation •
00 Virginia Avenue, Fort Pierce FL 34982
CommercialResidential
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4503 Redwood Dr Fort Pierce, FL 34951
Property Tax ID #:1313-502-0119-000-2
Site Plan Name: HOLIDAY PINES S/D-PHASE III
Project Name:
HVAC Change out
Cond: 4TTR4036 3 ton 15 seer 36,000 BTU
Air Han: TMM5BOB36 3 Ton 10 KW
Lot No. 542
Block No,
Additional work to be performed under this permit —check all that apply:
J (Mechanical _ Gas Tank — Gas Piping . Shutters — Windows/Doors
_ Electric — Plumbing _ Sprinklers — Generator — Roof Pitch
Total Sq. Ft of Construction: —
Cost of Construction: $ 51000,00
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Stewart B Moreaux
Name: Mark Matakaetis
Address: 4503 Redwood Dr
Company: Barker Air Conditioning
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 1936 Commerce Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772'562-5340
Phone No 772-562-2103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jenniferbarkerac@gmaii.com
State or County License CAC057252
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: X. 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 B RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO STAIN F104NCING, CONSULT
WITH YOUR LE ER OR AN MORNEY BEFORE RECORDING YOUR NOTICE.Of COMMENCEMf N ."
i
Sigridture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License old r
STATE OF FLORIDA
COUNTY OF C�
STATE OF FLORIDA
COUNTY OF a lKaoe.'t Iuu-t't
The forgoing instrument was acknowledged before me
this f9r day of 646t eC(A 202o by
The forgoing instrument was acknowledged before me
this ,�#ed day of rMAwe.L. 20 Zo by
I VtfA�/�IL �,ov(lhi. C1 ,:L�t'S
�6t,✓IL �(.� �2�F-t S
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
_X.
Type of Identification
Type of Identification
Produced
Produced
(Signat a of otary PubTic- State f Florida)
(Sign tur of Notary Public- State of Florida )
Commission No. 9%`f03/ �+i"°b )ETfIFERGINADOLO
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DATE
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