HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5049 N. HWY Al A #504
Property Tax ID #: 1414-613-0019-000-2
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
A/C INSTALL LIKE FOR LIKE. BOSCH WSHP M#SV0301 VTNFRTP.2.5 TON
)'-i I QEP, -'S -) iRcc b -i -11A
NC eie'c-rrI cca_ oec I - It)a k 4/- 11P(i Rt� W i--�)
CONSTRUCTION INFORMATION: I
Additi nal work to be performed under this permit – check all that apply:
ZMechanical — Gas Tank — Gas Piping Shutters
— Electric _ Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction: 1571 Sq. Ft. of First Floor: _
Cost of Construction: $ 5400 Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameThales Georgiou
Name: Joshua Roberts
Address:2230 Cedarbrush Dr
Company: Air Docs
City: Carrollton ,TXState: _
Zip Code: 75006 Fax:
Phone No. 214-557-8462
Address: 866 12th Ave Sw
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No772-713-7716
E-Mail:TGEORGIOU@VERIZON.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail airdocs_adm@yahoo.com
State or County License 12702
IT value or construction is �ZSUU 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:
DESfGNE
Name:_
Address:
City:
Zip: —
Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
ZIP: Phone:
— Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Lip: Phone:
Not Applicable
State:
Not Applicable
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 Countti 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 Lvll, 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. swirnming pools, fences, walls, signs, screen rooms and accessory uses to another nor, -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 COMMkJ9r
4MENT."
Signature o er Lessee;'Coniractor as Agent for O.,ner Signatur. of Contractor/License Holder
STATE OF FLORIDA STAT�OF FLORIDA
COUNTY OF_�,,�
l COUNTY OF =:z:
The forgoing instrument :Bas acknowledged before me '
The forgoing instrument was ackno-wledged before me
thisC� day of 0,' 20 7 `-�, ! this day of 20 by
Name of person making statemen'.Name of pi -son making statement.
Personally Known _
Type of Identification
Pr 7uc
!Signa r of
Commission
REVIEWS
DATE
RECEIVED
DATE
COMPLETED,
OR Produced Identification Personally Known OR Produced identification
TypR-of{dentifica do n
Pr,.oducecr
"�5V � P1DdL1'NI.BELL iSignatur-iof KoOMMISSION #,GG 170551
RES: �CeinDei25, 2021 ccmmission No.
. �F i
glw3
Bonded 11X1! Notary PUb✓IC lhberw'.w1i i •� f of r ?:
FRONT ZONING i SUPERVISOR PLANS j VEGETATION
COUNTER I REVIEW i REVIEW REVIEW i REVIEW
uwENDMYN I: BELL
My COMMISS10%q 1770y5�51
S: tJc•�a G ztr"LVLT
Boridod Thrj Notary Pnbk Ur48r*nWs
SEA TURTLE MANGROVE
REVIEW REVIEW