HomeMy WebLinkAboutBuidling PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/2612020 Permit Number:
G Luri Q- Li EP IL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: AC change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 2910 Sherwood Lane, Fort Pierce, FL. 34982
Property Tax ID #: 242'1-701-001-000-1
Site Plan Name:
Project Name:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: R
System change -out -
Existing/ 3 ton straight cool split system 8kW heat. cond 2TTX4036A1000AA 1 AH TWE040E13FB2
New13 ton straight cool split system 8kW heat. cond 4A7A6036J 1000A f AH TEM6A01330H21 SBA
New Electrical Meter Second Electrical Meter
I 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: $ 5000
Generator
Sq. Ft. of First Floor:.
Windows/Doors � Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR_
NameAugustus Johnson
Narne:Jared Taibl
Company:Top Standard Incorporated
Address:2910 Sherwood Lane
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 772-224-0809
E -Mail: herphone20l7@gmaii.com
Fill in fee simple Title Hodder on next page ( if different
from the Owner listed above)
Add ress:697 SW Dairy Rd
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No 833-872-2776
E-Mailtopstandardac@gmail.com
State or County License CAC1818900
ro:vv Vt UW112UU%.%1V11 IS 47Vu VF inure, d nr%.vKutu rvoirce oT o ommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
ENTCONSTRUCTION LIEN LAIN INFORMATION:
FDESIGNER/_ENGIN�EE_R;x Not ApplicableMORTGAGE
COMPANY: x Not Applicable
Name:
Address:
City: State:
Zi p: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x 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 1 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 commencing work or recording your Notice of Commencement.
Signa re of Own LesseeJContractor as Agent for Owner
Signature Contra ar/License Holder
STATE OF FLORIDA
STATE OF FLORI A
COUNTY OFi� c,%�
.
COUNTY OF LLC_,i-c_
Sworn to (or affirmed) and subscribed before me of
Sytorn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this i� day of �JQn& 2020Int
A Physical Pre ence or Online Notarization
this � day by
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ep
of 2020
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced ]dePersonally
Known, OR Produced Identi
Type of Identification
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Type of IdentificationJE
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Produced
Produced
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(Signatur otary Public- State of Florida(Signat
ary ublic- State of FloridaCommission
No. %�_ 1 {SeCommission
No.
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REVIEWS FRONT ZONING
SUPERVISOR
PLANS VEGETATION SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.5/6/20