HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR PPLICATION TO BE ACCEPTED
Date: 7/17/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division COmmerci I Residential X
300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Anne Breitfelder
PROPOSED IMPROVEMENT LOCATION:
Address: 3301 Crabapple Dr, PSL 34952
Property Tax I#: 3424-800-0197-000-4 Lot No.15
Site Plan Name: fairways at savanna club replat no 1 Block No. 76
Project Name: Breitfdder
DETAILED DESCRIPTION OF WORK:
A/C Changeout New unit 4 ton, 14 seer with 8 kw heat
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 T Sprinklers —Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft_ of First Floor:
Cost of Construction: $ 4000 Utilities: —Sewer — Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name Thomas.Overholser Name:Thomas Overholser
Address:574 NW Mercantile PI#107 Company:Kuebler Mechanical
City: PSL State:® Address:574 NW Mercantile PI 9107
Zip Code: 34986 Fax: City: PSL State:FL
Phone No.772-878-2281 Zip Code: 34986 Fax:
E-Mail:kueblermechacc@gmail.com Phone No772-878-2281
Fill in fee simple Title Holder on next page(if different E-Mail kueblermechacc@gmail.com
from the Ow er listed above) State or County License CAC1820289
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.
SOPP(EM5 TT L� ANSTRUICTIO MNIIAW INFOWA11001, '
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE 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,1 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
wit nder or an pAMev before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owney Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT Ludo COUNTY OF St w-b
Sworn to(or affirmed)and subscribed before me of Sworn to for affirmed)and subscribed before me of
x Physical Presence or_Online Notarization x Physical Presence or_Online Notarization
this n day of Amy 12020 by this 17 day of July 2020 by
Thomas Overholser Thomas Overholser
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Pr duce Prod cod
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(Signature of Notary Public-Sta ture of Notary Public-Stat
Notary Public State of F 'da Or Notary Public West
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Commission No. GG 312AQ4f4l t�((ppndice P West om ission No. GG 312ana F`� `eK dice P West
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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