HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/02/2020 Permit Number:
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Building Permit Application
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 14 Verda Vista Fort Plerce, FL 34951
Property Tax ID #:
Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
4.0 Ton 14 SEER Package Unit
10 KW Heater
Like for Like
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 —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6000 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dinna Iccomb
Name: Robert Marcelle
Address: 14 Verda Vista
Company:Comfort Experts USA Inc
City: Fort Pierce State:
Address: 664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34951 Fax:
Phone No. 72-538-8317
Zip Code: 34986 Fax: 772-873-3090
E -Mail:
Phone N0772-873-3000
Fill In fee simple Title Holder on next page ( if different
E-Mailckongerl4@gmail.com
State or County License CAC1418839
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION YEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 co 1 lict 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
Signature of Owner/ es ee/Contractor as Agent for Owner
STATE OF FLORI A �/�
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Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or _ Online Notarization
this 2 day of July 2020 by
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Type of Identification
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Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
this day of July 2020 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
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