HomeMy WebLinkAboutBuildingPermitApplication - 7410 S US HWYW 1 - SUITE 203 - 04-20-2020All APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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MEMO
W11-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Permit Number:
Building Permit Application
Commercial X Residential
PERMITTVPE: MECHANICAL/HVAC COMMERCIAL - INCLUDES HOODS
PROPOSED IMPROVEMENT LOCATION:
Address: 7410 S. US HWY 1, #203, PORT ST LUCIE, FL 34952
Property Tax ID #: 342250200110006
Site Plan Name: Century Professional Plaza - Suite 203
Project Name: A/C Replacement
DETAILED DESCRIPTION OF WORK:
EXACT REPLACEMENT OF 1.5 TON, 14.50 SEER, A/C SYSTEM WITH 5 KW HEAT.
Value: $3,928
(Replaces Expired Permit No. 1511-0390 - Case No: 100822)
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 7410 US Hwy 1 LLC
Name: Charles F. Bebout
Address: 1014 S Congress Ave
Company: Amber Refrigeration Heating & Cooling, Inc
City: West Palm Beach State: FL.
Zip Code: 33406 Fax:
Phone No. (772) 380-9011
Address: 504 SW Lake Manatee Way
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: NIA
Phone No (772) 528-5986
E -Mail: amber@mgtspec.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail AmberRefrigeration@yahoo.com
State or County License State: CAC1814270
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
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 thepermit 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."
Rev. 2/7/19
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Signature of O / Lessee/Contractor as Agent for Owner
Signature Pntractor/License Holder
STATE OF FLORIDA
STATE OF FLORI A
COUNTY OF
COUNTYOF
The forgoing instrument was acknowledged_ before me
The fo oing instru ent was acknowledged before me
this _ day of �U20by
this day of 1 20y
N" —lo– 4
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification ^
Personally Known OR Produced Identification
Type of Ident�cation
Type of Identifj tion
Produced V`L,
Y�r�
Produced_�,
E�LA_kL NAb�
(Signature of Notary Public- State of Florida NARY, Nicole Ort
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d6Signature of Notary Public- State of Flori t RY gs� Nicole Ortad
LIBLIC n «F oq NOTARY PU
STATE OF F
Commission OF
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19