HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY
F i n R i r
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 TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S Ocean Drive #604
Property Tax ID #: 3534-501-0028-000-9
Site Plan Name:
Project Name: Geiger
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
Install a new 3.5 ton 14 seer 10kw Carrier complete system
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: $ 5415.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name George Geiger
Name: Luke Walker
Address:8650 S Ocean Drive #604
Company: Treasure Coast Air Conditioning
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.262-853-8229
Address: PO Box 460
City: Jensen Beach State: FL
Zip Code: 34958 Fax: 772-288-7046
Phone No772-692-1701
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailTCAC1990@att.net
State or County LicenseCAC058476
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 Applicab
Name:_
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 L ENnFR oR AN-e-VMRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatu of Owner/ Lessee/Contractor as Agent for Owner
Sign atur ontractor/License
Holder
STATE OF FLORIDA
STATE OF FLORIDA
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Name of person making st ement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
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RECEIVED
DATE
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Rev. 2/7/19