HomeMy WebLinkAboutJones 9950 PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY F
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: 9950 S Ocean Drive 303
Property Tax ID #: 4502-703-0009-000-4
Site Plan Name:
Project Name: Jones
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
Install a new 3.5 ton 13.2 eer Climate Master packaged unit
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 ` Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5068.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Phoebe Jones
Name: Luke Walker
Address:9950 S Ocean Drive 303
Company: Treasure Coast Air Conditioning
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 772-708-6623
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 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 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."
Signature of 0 e(7 Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of /V/:L. / 20_7,2 by
Name of person making sunt.
Personally Known OR Produced Identification
Type of Identification
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Signatur ractor License Holder
STATE OF FLORIDA
COUNTY OF 1.11 AICLIK)
The forgoing instrument was acknowledged before me
this /f day of MA v 20 -2:c -by
4 1,/-i
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced H IPJIllfll�����
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(Signature of N96ry Public-.9iate of Floridf I `' %(Sitature of (Votary Public- State of Floaak);
Commission No. (SQA O00001306 forriElission No.
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