HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/28/2020 _ Permit Number:
LUC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 266 NE Solida Drive, Port St Lucie, FI 34983
Property Tax ID #: 3419-570-0001-000-4
Site Plan Name: 266 SOLIDA DR
Project Name: A/C Change Out
DETAILED DESCRIPTION OF WORK:
A/C Change out. same size and type of equipment in same location.
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: $ 5230
Generator
Sq. Ft. of First Floor:
Lot No. 23
Block No. 72
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edwin Marston
Name: Anthony Fenn
Address: 266 NE Solida Drive
Company: Assured Air Conditioning
City: Port St Lucie State:
Zip Code: 34983 Fax:
Phone No. (772)260-5729
Address: 278 NE Surfside Ave
City: Port St Lucie State: FI
Zip Code: 34983 Fax:
Phone No (772)202-2005
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Anthony.fenn@assuredairconditioning.com
State or County License CAC1820274
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x 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 commencing work or recordinnour Notice of Commencement.
1
as Agent for Owner I Signatt p/of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF E-cy COUNTY OF 9 - LVL&
Swor o (or affirmed) and subscribed before me of Sworryto (or affirmed) and subscribed before me of
Physical Pr Bence or Online Notarization Physical Presence or Online Notarization
th�0 day o 2020 by this day of,12020 by
Name of per0n making statement. I Name of person making statement
Personal Known OR Produced Identification
Type of de )ific n
Produc d Y ffy_" _
-State of Florida
(Signa r o otary te of E406dar,)#
Comm. E)gres Sep 29,201
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Commission No. Bc ded t
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DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State lob .t9G MARIA D. GOME2
q r\ Notary Public - State of
Commission Noc1 L ( I J�al� Commission p GG 29
for v ° y Comm. Expires Feb
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ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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