HomeMy WebLinkAboutPermit application MeyerALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/1312020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5405 Sunset Blvd_, Ft. Pierce, FL 34983
Legal Description: Indian River Estates
Property Tax ID ##: 3402-609-0241-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out like for like 3 ton unit, 14 SEER,8 kw heat, Carrier Condenser CA14NA036, Air Handler
FB4CNF036
CONSTRUCTION INFORMATION:
Aclamonal work to be e Orme un er this permit — ci apply:
HVAC Gas Tank E]Gas Piping_ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers L�.�I Generator Roof Roof pitch
Total Sq. Ft of Construction: S. FtFtj. of First( Floor:
Cast of Construction: $ $4050.00 Utilities: i _1Sewer I_JSeptic Building Height:
OWNER/LESSEE; - CONTRACTOR:
Name Michael and Chongae Meyer Name: Keith Thompson
Address: 5405 Sunset Blvd Company: AC Keith Inc.
City: Ft Pierce. State: FL Address:
Zip Code: 34982 Fax.. nla City: Port St Lucie State: FL
Phone No. 770-855-2275 Zip Code: 34953 Fax: nla
E -Mail: Phone No. 772-519-1351
Fill in fee simple Title Halder on next page ( if different E -Mail: ackeithl@att.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is $2500 or more. a RECORDFr) Nntira of rnmman�ea..,a.,+ ;r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip; Phone:
FEE SIMPLE TITTLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencingMork o cq n our Notice of Commencem
Qwner/_Lessee/ ntractar as Agent for t?wner Signature of Contractor/License
STATE OF FLORIDA " STATE OF FLORIDA ,
COUNTY OF_ J, �- U` 1
COUNTY OF t' Z-[.� Cf''e—
The forgoing instrument was acknowledged before me
this _4�L day of r:/ 2o2,o by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Prodvced '7- Zy _e7 a-
MR
The for oing instrument was acknowledged before me
this day of 20 &-) by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced G. u- F" -
vzl
(Si ature of Notary Public -St
natifre of Notary Public- Stat
Commission No. 36 y
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PHYWS ANN O'ANNA
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mission No.
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Commis5ior # GG 364243
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