HomeMy WebLinkAboutBuilding Permit AppAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPL]CATION TO BE ACCEPTED
Da:.€.612312029 Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
23AA Virginia Avenue, Fort Pierce FL 34982
Phone: 1772| 462-L553 Fax: {772), 462-1578 Commercial x Residential
PERMIT TYPE:
PROPOSED I MPROVEM ENT LOCATION :
Address: 74205 Ocean Dr. Unit 111Jensen Beach, FL34957
Property Tax lD #:3522-603-0032-000-6 Lot No
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement oI a2lon split system with 5 kW;like for like; 14 SEER
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
_ 6as Piping
_ Sprinklers
_ Shutters
_ Generator
_ Windows/Doors
_ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost ofConstruction: $ 3450 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
;\3ms Dorothy Everstine
Address: 742A S Ocean Dr Unit 1 1 1
City' Jensen Beach, FL State:
ZiP Code: 34957 Fax
phone Ns. 240-375-1451
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: James J Wauters
Company:Just Chillin' HVAC LLC
Address: 5422 NW Cromey St
City:Port St. Lucie State: FL
ZiP Code: 34986 Fax:
phone pe 772-940-4373
g- Jy1 3 ; I justch i lli nai r@hotmail. com
State or County 1;sgp5s CAC1819351
SU PPLEM ENTAL CONSTRUCTION LI EN LAW IN FORMATION :
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
7ip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TTTLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Countv makes no representation that is granting a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Owners Asioclation rules, bvlaws or and covenants that mav restrict rir prohibit such
structure. Please consult with your Home Owners Association and review-your deed for any restrictions rdhich may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, 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
..WARITING TO OWNER: YOUR FAILURE TO RECORD A IYOTICE OF COMMENCEiIENT MAY RESULT IN YOUR PAYING
TWICE FOR III{PROYEMENTS TO YOUR PROPERTY, A ITIOTICE OF COMMENCEMEITT IIIUST BE RECORDED AIIID
POSTED ON THE JOB SITE BEFORE THE FTRST |NSPECT|ON. lF YOU INTETUD TO OBTATN FIUANC|NG, COi|SULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEIIIENT,,,
STATEOFFLORIDA-f r . \
COUNT' OF S"\- \_Ue_-'4_
The forgoing instrurpent was acknowledged before me
thisftfiay of r-lt) /tA- .20@by
OR Produced ldentification
ion No.
ractor as Agent for Owner
Name of person making statement.
STATE OF FLORIDA6 1COUNTYOF (4--" L-t)c-.e
The forgoing instruqent was acknowledged before me
this}} day of Jr ).\p .26}1 by
\n - ^., - ., ) Q..,Jq-.. s\, *\/r , '- \(-./ \
Name of person making statement.
Personally Known _ OR Produced ldentification
Tvpe of ldentification
Pioduced \u *)u=
of Notary Publi#State of Florida )
DATE
COMPLETED