HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/15/2020 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 X Residential
PERMIT TYPE:AC Replacement
Address: 10044 S Ocean Dr #902 Jensen Beach 34957
Property Tax ID #: 450280400660001
Site Plan Name: Oscar & Neley Vincente
Project Name: Flynn's AC Services
Replace a 2.5T, 15 seer AC system with a 5KW heater
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4680 Utilities: —Sewer —Septic Building Height:
Name Oscar Vincente
Address: 9353 NW 50th Doral Circle N
City: Doral State:
Zip Code: 33178 Fax:
Phone No. 786-233-9964
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph Flynn
Company: Flynn's AC Services
Address: 1323 SW Thelma St
Pitch
City: Palm City State: FL
Zip Code: 34990 Fax: 781-1307
Phone No 772-283-4114
E -Mail mjb@flynnac.comcastbiz.net
State or County License CAC055482
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.
. . . . . . .. . . .........................
DESIGNER/ENGINEER:, Not Applicable MORTGAGE COMPANY:Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: _Not Applicable
Name: 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."
Sign ata of r e
Ownessee/Contractor as Agent for Owner
Si ture of Co ctor/License Holder
STAT//E OF FLORIDAoff,
STATE OF FLORIDA /y
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COUNTY OF A �`� 1 t)
jo
COUNTY OF Vy I Z`� Y�
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this j Lday of MF_ 20:20 by
this l `> day of 01k �, 20�u by
Name of person m king statement. ✓
Name of person maks g statem nt.
Personally Known X. OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P blic- State of Florida)
(Signature of Notary Publi - State of Florida )
Michele J. Brown
Mk*Wo J. Brown
Commission No. JA Lr4ke4JOTARY PLBJC
Commission No. WtARY PUBLIC
cwnw V_
STATE OF FLORIDA
STATE OF FLORIDA
REVIEWS FRONT Z/
PLANS VEGETATION SEA LE �Gf�OVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19