HomeMy WebLinkAboutSerra 9650 Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
c 9W. .
- 121 z --`=- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S Ocean Dr#707
Property Tax ID#: 4502-610-0067-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Serra
DETAILED DESCRIPTION OF WORK:
Install a new 2.5 ton Climate master heat pump unit
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: $ 4200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Isabel Serra Name:Luke Walker
Address:9650 S Ocean Dr#707 Company:Treasure Coast Air
City: Jensen Beach State:_ Address:PO Box 460
Zip Code: 34957 Fax: City: Jensen Beach State:FI
Phone No.772-208-0257 Zip Code: 34958 Fax: 772-288-7046
E-Mail: Phone No772-692-1701
Fill in fee simple Title Holder on next page(if different E-Mailtcac1990@att.net
from the Owner listed above) State or County LicenseCAC058476
I
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.
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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 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, 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 len r or an attorney before commencing work or recording our Notice of Commencement.
Signat o wnd,r ssee/Contractor as Agent for Owner Signature of CO tr for/License Holder
STATE OF FLORIDA A� _ STATE�OF FLORIDA
COUNTY OF AIAI� ,IA,) COUNTY OF /MCT/Aj
S nrrgrn to(or affirmed)and subscribed before me of Sworn v(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presence or Online Notarization
this L-LI day of 0 � 2020 by this .Z� day of 2020 by
Name of person making sta�ement. Name of person making statement.
Personally Known '/ OR Produced I����\`
�18ttltlggy Personally Known OR Produced Id
Type of Identification FAELR/SC� Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED