HomeMy WebLinkAboutBulding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06-09-20201 Permit Number:
LUCIE
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C change out
PROPOSED IMPROVEMENT LOCATION:
Address: 8224 Mulligan Circle, #2921, St. Lucie West
Property Tax lD #: 8327-502-0093-000-2
Site Plan Name:
Project Name: CASTLE PINES CONDOMINIUM PHASE V
Residential XX
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Replace a/c equipment
Rheem 2.0 ton 16 SEER 5kw
Condenser Model: RA1624AJ1 Air Handler Model: RHIT2417STAN
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3900.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MIM Robert Fitzpatrick
Name: William H. Britton, Jr.
Address: 8224 Mulligan Circle, #2921,
Company: Buddy's A/C LLC
City: St. Lucie West State: _
Zip Code: 34986 Fax:
Phone No. 631-334-4558
Address: 8815 W Angle Road
City: Fort Pierce State: FL
lip Code: 34987 Fax:
Phone No (772) 480-4631
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail buddysacllca@gmail.com
State or County License CAC1820063
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON5TRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
Address:
BONDING COMPANY: xx Not Applicable
Name:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
,with IPnripr nr an attnrnpv hpfnrp rnmmPnr_inp worts or recordine your Notice of Commencement.
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Signature of Owner/ Lessee/Contr Gt r as Agent for Owner
Signature of Contractor/Li nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OF ,+. L16 e— __
COUNTY OF '-) I
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
P sical Presence or Online Notarization
Y, Physical Presence or Online Notarization
this day of Jujie_ 12020 by
this �.. day of June- 2020 by
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WI J L@M _�._�Er;4bn Jr.
IIiilliam
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known V OR Produced Identification
Type ofI ntification
Type of Identifica ion
ProduC
Produce AJ 9
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(Si6hAure of Notary Public- State f Floriklina R. Parsons
(i nature of Notary Public- State of Florida.R parsons
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PUBLICo��s
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Commission No. Q E OF FLORIDA
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<� Expi
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Expir
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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