HomeMy WebLinkAboutPermit App for Chris JordanAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da:,lJ.71812020 Permit Number:
Building Permit Application
Planning ond Develapment Services
Building and Code Regulation Divisian
2i0OVirginia Avenue, Fort Pierce FL 34982
Phone: 17721 462-1553 Fax: (772\ 462-L578 Commercial Residential x
PERMIT TYPE:
PROPOSED I MPROVEM ENT LOCATION :
Address: 79 Camino Del Rio Port St" Lucie, FL 34952
Property Tax lD #: 3414-50'l-1701-000-9 Lot No._
Block No.Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 4 ton packaged unil with 1 0 kW electric heat; 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
_ Roof _ Pitch_ Generator
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction' 5 3685 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
;13ms Chris Jordan
Address:79 Camino Del Rio
City:Port St. Lucie, FL State:
ZiP Code; 34952 Fax:
phone 116. 21 6-470-7669
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 State: FL
ZiP Code: 34986 Fax:
phone g\s772-944-4373
g-1y s ; 1
j ustch illinair@hotmail.com
State or County 1i6sn5s CAC1819351
DESIGNER/ENGINEER; _ Not Applicable
Name:
Address
City:State:
Zip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
7ip: _Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Countv makes no reoresentation that is srantine a oermit will authorize the permit holder to build the subiect structure
which is in conflict with anv a'oolicable Home Owiers Ass'ociation rules, bvlaws or and covenants that mav restrict 6r prohibit such
structure. Please consult with'your Home Owners Association and revi6w'your deed for any restrictions uihich 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 Countv 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
.,WARITII\IG TO OWUER: YOUR FAILURE TO RECORD A ITOTICE OF COMI}IEI{CEMET{T MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEiIEIUTS TO YOUR PROPERTY. A ITIOTICE OF COMMEI{CEITIEITT MUST BE RECORDED AND
posTED oI[ THE JOB SITE BEFORE rHE FTRST INSPECT|ON, tF YOU TNTEND TO OBTAIN FIUAIUC|IUG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDII{G YOUR IUOTICE OF COMMENCEIIIENT.,,
STATE OF FLORIDA I I
coUNTY ar f l, L,a ci (
Personally Known
-
OR Produced ldentification Vr
Type of taentifteat,pn Ar/ -7-
Produced f L---- jj) .:-"
ure of N
Commission No.
Lessee/Contractor as Agent for Owner
Name of person making statement.
riddrymrSSron I G0lr: lan]:
Xrj,r",Uove ,rber i6 in:
STATE OF FLORIDA ,/ . NCOUNTYOT i/, (.qrt(
The fo,rgging instrument.was acknowledged before me
this '1 ' ' dav of \- /,. ,20 )A bv
--) / .-\n-zrgi Lt)r,^ /-t r :
Name of person making statement.
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OR Produced ldentification .4
Type of ldentifiqplign
Produced r-- [--
(Siqtrture of Nffiry Public- State of
Commission No. (; llC I cc t(
MANGROVE
REVIEW
DATE
COMPLETED
SUPPLEMENTAT CONSTRUCTION LIEN LAW INFORMATION:
The forq{ng ins
this Y 'Uayof