HomeMy WebLinkAboutBuilding Permit AppllicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/04/2020
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:A/C CHANGE OUT. SAME FOR SAME.
(PROPOSED IMPROVEMENT LOCATION:
Address: 7410 S OCEAN DR 610
Property Tax ID #: 3522-605-0035-000-3
Site Plan Name: SAND DOLLAR VILLAS CONDOMINIUM D- UNIT 610
Project Name: Concu AC Changeout
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ONE 2 TON 14 SEER GOODMAN REMOTE AIR CONDITIONING SYSTEM COMPLETE
WITH 5 KW ELECTRIC HEAT & USING OZONE FRIENDLY 410A REFRIGERANT.
AddYMechanical
onal work to be performed under this permit – check all that apply:
_ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,300.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
(LESSEE:
CONTRACTOR:
Name Salvatore J Concu
Name: Juan Cruzado
Address:6 Long Drive Ct
Company: Jensen Beach Air & Heat LLC
City: Bay Shore, NY State:
Zip Code: 11706 Fax:
Phone No. 631-681-3176
Address: 2092 SE Hanford Rd
City: Port St Lucie State. FL
Zip Code: 34952 Fax:
Phone No 772-334-3200
E -Mail: SALNANACON@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjensenbeachac@gmail.com
State or County License CAC 1818779
It 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.
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."
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
STATE OF FLORIDA ��
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Personally Known 'VinOR Produced Identification
Address:
City:
Type of Identification
City:
Zip: Phone:
(Signa ure o? -Notary P lic- State of Florida)
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."
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Si axof Owner essee/Contractor as Agent for Owner
Si re of Contractor/License Holder
STATE OF FLORIDA j I I
STATE OF FLORIDA ��
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COUNTY OF
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this day of 202-0
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Name of person making statement.
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Name of person making statement.
Personally Known 'VinOR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signa ure o? -Notary P lic- State of Florida)
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(Signature o No r P ic- t of F ida )
Commission No °Y 11 T MA ZADO
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Rev. 2/7/19