HomeMy WebLinkAboutMiller 8650 PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
�o dUMIE
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residentia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S Ocean Dr #905
Property Tax ID#: 3534-501-0047-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Miller
DETAILED DESCRIPTION OF WORK:
Install a new 3.5 ton 14 seer 10kw Carrier complete system
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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 5200.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Miller
Name: Luke Walker
Address: 8650 S Ocean Dr #905
Company:Treasure Coast Air Conditioning
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 786-301-3517
Address: PO Box 460
City: Jensen Beach State: FL
Zip Code: 34958 Fax: 772-288-7046
Phone No772-692-1701
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailTCAC1990@att.net
State or County License CAC058476
U11 q f-aVV UI -vie, d KCwrcuru Nonce OT t.ommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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
with,!,r or an attorney before commencing work or recorojng your Notice of Commencement.
-
gnature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor Li�nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF %"7/92i /A-.) COUNTY OF / X2 j/�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of// , `JGT —-- 2020 by
v -7 z4 � 1AU1A4'A_1_1&_e
Name of person making statement
Personally Known J OR Produced Ide to"u"Type
_
Produced Identification / P��.. oPEL Rl SAO//
/ GO Jac 13, -10E2fai��N
(Si t6re o ary Public- State ofd rtda) �• �t
1giH 004859
Commission No. %�$ooded «�°
�i// PSA•. ublic und?'�
Sworryt_d(or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this 4,Z_ day of - c) G V 2020 by
Name of person making sta ment.
Personally Known OR Produced Identific
Type of Identification \�����14YLsc
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Produced�ypFAEL S�
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(Signature d otary Public- State of FEr?3a) �.
Z ' o *HH 004859
Commission No.�g�)��y
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ',�TNift9C VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE 7
COMPLETED
ev. 5/6/20
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