HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/12/2020 Permit Number:
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Building Permit Application
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
Residential X
PERMIT APPLICATION FOR: ELENA CUCCIARRE
PROPOSED IMPROVEMENT LOCATION:203 EASY ST FT. PIERRE, FL 34982
Address: 203 EASY ST FT. PIERRE, FL 34982
Property Tax ID #: 3402-604-0010-000-0 Lot No. 10
Site Plan Name: INDIAN RIVER ESTATES -UNIT -03- BLK 14 LOT 10 (MAP 34/10S) (0.41AC) (OR 3451-1879) Block No. 14
Project Name: ELENA CUCCIARRE
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT OF A 2 TON YORK UNIT - 16.00 SEER
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
XMechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3995
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ELENA CUCCIARRE
Name:GRETA B. SMITH
Address: 125 Holland Ave
Company:ALL YEAR COOLING & HEATING
City: WHITE PLAINS State: NY
Zip Code: 10603 Fax:
Phone No.
Address: 1345 NE 4TH AVENUE
City: FORT LAUDERDALE State: FL
Zip Code: 33304 Fax:
Phone No 954-566-4644
E-Mail:BLACKBOXONE@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail PERMITS@ALLYEARAC.COM
State or County License FLORI DA/BROWARD
11 vd1u"- ul l.unsLfuGUOn Is zDuu or more, a KtcUKUtU Notice oT commencement is required.
If value of HAVC 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 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 commenciniz work or recording our Notice of Commencement
\CV. J/O/LU
Signature of ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY
COUNTY OFBROWARD
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 12 day of JUNE 12020 by
this 12 day of JUNE 2020 by
ELENA CUCCIARRE
GRETA SMITH
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced DRIVER LICENSE
Produced
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ature of Notary PublicMANKOWSKI
(�gn13ture of Notary Publi 9x, V,
Not�ry Public -State of FloridaJOSEPH
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L. MANKOWSKICDmmis$ion
NO. "� ( iwon F GG 986048
mission No. _ �.� . _ Not ry runic State of Florida
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My Comm. Expires May 10, 2024
r GG 986048
A� of F`°' My Comm. Expires May 11, 20i'4
Bonded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
\CV. J/O/LU