HomeMy WebLinkAboutBuilding Permit AppAI! APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.612312420 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulatian Division
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: t772\ 462-1553 Fax: (772), 462-1578 Commercial X Residential
PERMIT TYPE:
PROPOSED I MPROVEM ENT LOCATION :
Address: 7430 S Ocean Dr. Unit 619 Jensen Beach, FL 34957
Property Tax lD #:3522-603-0032-000-6 Lot No
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement ol a 2lan 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
_ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors
_ Generator _ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: $ 3450 Utilities: _Sewer _Septic Building Height:
lf value of construction is 52500 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:
N;2ms Robert Lucien
Address: 15 Reed Ln
City' Westbury, NY State:
ZiP Code: 11590 Fax:
phone p6. 516-993-2809
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 Stater FL
ZiP Code: 34986 Fax:
phone y1o772-940-4373
E-ry1. ;1
justchillinair@hotmail.com
State or County L;sgi5s CAC1819351
DESIGNER/ENGINEER; _ Not Applicable
Name:
Address:
City:State:
zip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:Zip:_ Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name
Addr
e:_
ess
City:
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
OWNERI 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 reoresentation that is srantine a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owhers AsSociation rules, bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult With your Home Owners Association and review'your deed for any restrictions which may apply.
ln 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 ITOTICE OF MAY RESULT IN YOUR PAYIIUG
TWICE FOR IMPROYEME'IIT5 TO YOUR PROPERTY. A NOTICE OF MUST BE RECORDED AND
posrED oN THE JOB StrE BEFORE THE FTRST |NSPECT|ON. tF YOU TNTEND TO OBTAII{ FIUANC|NG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDII\IG YOUR NOTICE OF COMMENCEITIEIIIT."
STATE OF FLORIDA
Eiru ru=il' cir - "'Et- Ls &
The forgoing instr$ment was acknowledged before me
rhis?.l-> dayof JUqp ,2029 by
Name of person making
OR Produced ldentification -/
ractor as Agent for Owner
Type of
Je.sCIm Hemdry
ilr j:l;r t'',iittiii ii
Expires: February 23'
)
STATE OF FLORIDAT r
CoUNw or G Lr: t^s-
The forgoing instrqment was acknowledged before me
ttrCI}dayof . \..\^r ,2o')Dby
person making statement.
Ily Known OR Produced ldentification
t--
e of Florida )
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