HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Jfn— Permit Number:
�
Building Permit Application 50
Planning and Development Services C4 v
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ?�
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PRC?Pa5PRl
1rQ 1MVEMEIUT LOCATIC)N =
Address: 10951 S Ocean Dr.#101
Property Tax ID#: 4511-910-0108-000-5 Lot No.
Site Plan Name: Windmill Villate by the sea condominium NO 1 Unit 101 Block No.
Project Name: AC Change out
DETAILED D 5.CRiPTIO .OI=WO" ;
AC Change out: Package unit Rheem Sseries Ruud 2.5 ton, Model#RSPMA030JK 14 Seer
CONSTRUCTION INF{7RIViAt-If3N.
Additional work to be performed under this permit–check all that apply:
'„Mechanical —Gas Tank _ Cas Piping `Shutters Windows/Doors
Electric r Plumbing Sprinklers ,Generator ,Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4500.00 Utilities: —Sewer �Septic Building Height:
O WNRA9SS�E- -RA CE3R
NameWi21iam&Suzanne Buie/ See Attached Deed as of 2120120 Name:Stephan S Buckley
Address-12732 Tanglewood Dr. Company-AC All Stars
City: Noxville,TN State: Address:21621 Magdalena Ter
Zip Code: 37927 Fax: City: Boca Raton State:Pl-
Phone No 965-230-1746Zip Code: 33433 Fax: 56-367-3444
E-Mail: Phone No 661-702-1943
Fill in fee simple Title Holder on next page{if different E-Mail sfaa4995 a@aol.com
from the Owner listed above) State or County License CACI 817509
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.
i ;
SUPPLEll1ENTAL CC?NSTRUCI'IN l IE;N l.AVli lNC?RMA `EaN
. ..,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 FiINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-MUd NOTJCE••OF'EOMMENGEMENT."
0000,
Signature of Owner/Lessee/Contractor as Agent for Owner Si ure of Coi3t a for r n
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFPatm Beach COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21 /day of February,2020 20_, by this 21 day of February,2020 ,20_, by
William Buirl��/� �, /"� Stephan S Suddey
Name of person making statement. Name of person making statement.
Personally Known •0FVroduc lcY���►�ification�_ Personally Known x Oi� d��;�ld�i4fiEaXion
Type of Identification11 :;;e' ��'�, t�J /: �% Produced 8240797590420
ProducedType of Identification
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( ig a u f t ab tg o rida,'��' ( gna re Na ry Publi71
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fate•of on } ?}
Commi cion No. GG086568 �� °} p �5{,eCommission-No. GG068568 rJAI D e
REVIEWS FRONT ZONING - SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.