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BuildingPermitApplication - 7410 S US HWYW 1 - SUITE 306 - 04-20-2020
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMITTYPE: MECHANICAL/HVAC COMMERCIAL - INCLUDES HOODS PROPOSED IMPROVEMENT LOCATION: Address: 7410 S. US HWY 1, #;`306, PORT ST LUCIE, FL 34952 Property Tax ID #: 342250200220006 Site Plan Name: Century Professional Plaza - Suite 306 Project Name: A/C Replacement Lot No._ Block No. I DETAILED DESCRIPTION OF WORK: 1 EXACT REPLACEMENT OF 3-112 TON 13 SEER A1C SYSTEM WITH 7.5 KW HEAT. Value: $5,664 (Replaces Expired Permit No. 1511-0391 - Case No: 100828) CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: Mechanical _ Gas Tank —Gas Piping — Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: 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: _ 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 License: 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. 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 COMMS EMENT." Signature of Owne / Lessee/Contractor as Agent for Owner Signature ofntractor/Licens older STATE OF FLORIDA COUNTY OF Q LQ k STATE OF FLORA COUNTY OF f54e --61 . .LA,LCI Thegoing instrujpent.was acknowledged before me The fp��oing instrument was acknowledged efore me this day of y 20aOby this day of Ai—v'20S2y ; bwt OninIC I I �kDou 4- Name of person snaking statement. - - Name of person making statement. J Personally Known OR Produced Identification Personally Known OR Produced Identification`/ Type of Ident icatio��yy Produced �1� Type of Identif' ation Produced "`-� V I�rLJ`��•l IiCMr'l��J y plisslc,.(Lrt Nicole O (Signature of Notary Public- State of Floridan"T'� o� NOTARY �$Qature of Notary Public- State of Florida ©, NOTARY Commission No. C`]2`'� `f (S° i� STATE O FLORIDA o '-"STATE O © g�dq,Flssion No. C" C-1 ��-{ 94 is = Comm# G Comm# G Nc�$ Expires 12/112022El v- Expires 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SLA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19 is