HomeMy WebLinkAboutJACK SUMMERALL AC APP corrected appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/2/2020 Permit Number:
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BuildingApplicationPermit
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:/VC CHANGEOUT
..... ...
PR(��C?S C?:IN1F'ROVEMtI�T;" ATI�N:.... ........
Address: 6906 DELAND AVE
Property Tax I D #: 13161201920008
Site Plan Name:
Project Name:
X
Lot No.
Block No.
REMOVE EXISTING UNIT, REPLACE WITH NEW UNIT. A/H: MODEL: RH1 P3017STANJA C/U: MODEL: RA1630AJl NB
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New Electrical Meter
Second Electrical Meter
..........
CNTRU CT 4,F.::. ONO MATN«. .........
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank Gas Piping Shutters Windows/Doors Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $43130
NameJACKSON SUMMERALL
Address:6906 DELAND AVE
City: FORT PIERCE State:
Zip Code: 334951 Fax:
Phone No.843-877-2670
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
E-Mail: NEVASUMMERALL@LIVE.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: ROCKET COOLING
Company: ROCKET COOLING
Address: PO BOX 1803
City: LABELLE State: FL
Zip Code: 33975 Fax:
Phone No 863-674-7207
E-Mail INFO@ROCKETCOOLING.COM
State or County License CAC1819491
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _y�w
T" I L] E ANINF
Not A�I i'ca b l��__�W__
�a p p e
Name:
Address:
City . -���
Zip: State
p .�... ..�..®.. Phone -
FEE SIMPLE TITLE HOLDER: _ Not Applicable M�
Name:
Address :-..........�_
City: mm
Zip:.w� Phone: _
BONDING COMPANY: Not Applicable
Name-
Address. -
City:
Zip: � Phone:
OWNER CONTRACTOR AFFIDViT: Application is hereby made to obtain a .�..._-- -
! certify that no work or installation has commenced prior to the permit to do the work and installation as indicated,
p e issuance of a permit.
St. Lucie County makes no' representation that is granting a permit will authorize the permit h
which is in cc�c•�fiict with an applicable too p alder to build the subject structure
structure. Please consuls with your Home Home
OwnersAssociationAssociationbylawsor and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will in all respects, pects, 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 undergoinga full concurr
accessory structures, swimming enGy review: room additions,
pools fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING 'Q OWNER* YOUR FAILURE TO RECORD A NOTICE AI~
COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF' COMMENCE
POSTED ®N THE �O� SITE BEFORETHEFIRST INSPECTION. ME1111T MUST DE RECORDED AND
�T'IAN. IF YOU INTEND TO OBTAIN FINANCING; CONSULT
WITH YOUR LENDER O- ,R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CtMMEiVCEMENT7y
.
Sieof Qwner/ Lessee/actor as Agent for Ow
er Mp�J
STATE of FLORIDA %U
COUNTY OF
The focgoing instrument was acknowledged. before me
this = ft
dad` ®f� r 20.Li by
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Name of person making statement.
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Personally Known OR Produced Identification
Type of Identification
Produced
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�SigY,.., w of Nary Public St Y�w �..F_.....PT.
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N'AN
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Commission too.
Y M`� ESSION #GG026573
� S: SEP 05 2020
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Bonded through 1st State Insurance
FREVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
RECEIVED
GATE
COMPLETEQ
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Sig5ieture of Contractor/Livens.., H- older
STATE OF FLORIDA
COUNTY OF
,ii'e,N�'t § i
The forgoing instrument was ,acknowledged before me
1 >
this i' �-� of '� � at :z., � �.� .
day ;� �.H�.. 2�
'Y
Name of person making statement. �
l9'
Personally Known'` OR Produced Identification
Type of Identification "�~ -
Produced
(Sign:ur-of Nth Put�ficw Stag o£r::.�w.
SHANNON DEPUE
Commission No. ` ���`'`R� ��f;�� M`� SIGN #GG026575
SEP 0
101.19n S.
VEGETATION
PLANS
RE EW 1 REVI WI S REVIEW �� I MANGROVEREVIEW