HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/11/2020 Permit Number:
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Building Permit Application
Residential ✓�
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Replace A/C System
PROPOSED IMPROVEMENT LOCATION:
Address: 431 European Ln Fort Pierce, FI 34982
Property Tax ID #: 3410-503-0219-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
2.5 Ton 14 SEER
5 K
Like for Like
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 5500
Generator
Sq. Ft. of First Floor:
Lot No.9
Block No. H
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Nancy Drew
Name: Robert Marcella
Address:431 European LN
Company: Comfort Experts USA Inc
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 7729716674
Address: 664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 7728733090
Phone N07728733000
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailckongerl4@gmail.com
State or County License CAC1 814439
It Value at construction is ZSUO 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 CONSTRUCTION LIEN LAW INFORMATION:
Signature of Contr or/License Holder
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
_ sical Prese a or Online Notarization
Address:
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this —+ day of i.lh 12020 by
City:
Zip: Phone
State:
City:
Zip: Phone:
State: _
FEE SI M PLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Type of Identification
Address:
Prod d
City:
Pio ure of Notary Public -St e' ` Q�tlate of Florida -Notary
City:
Commission NU e y Commission
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Zip: Phone:
November 01, 20
Zip: Phone:
REVIEWS
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 lender or an attorney before commencine work or recordine your Notice of Commencement.
Signature of Owner ee/Contractor as Agent for Owner
Signature of Contr or/License Holder
STATE OF FLORID I
COUNTY OF \J , [A(A
STATE OF FLO DA I ' e(1
COUNTY OF a - W
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
___Physical Presence or_Online Notarization
_ sical Prese a or Online Notarization
this day oQ UM , 2020 by
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Name of person making statement.
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
P uced
Prod d
(Signature of Notary Public - St e1 ')dgaare of Florida-Notar
Pio ure of Notary Public -St e' ` Q�tlate of Florida -Notary
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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