HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/29/2020 Permit Number:
nr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
S
PROPOSED IMPROVEMENT LOCATION:
Address: 41 Calle De Lagos Fort Pierce, FL 34951
Property Tax ID #:
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORK:
4.0 Ton 16 SEER Packaqe Unit
10 KW Heater
Like for Like
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
Total Sq. Ft of Construction:
Cost of Construction:$ IC `9
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
-Windows/Doors _ Pond
Roof Pitch
Utilities: -Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Chris Ducie
Name: Robert Marcella
Address:41 Calle De Lagos
Company:Comfort Experts USA Inc
City: Fort Pierce State: Al
Zip Code: 34951 Fax:
Phone No.
Address:664 NW Enterprise Dr Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-873-3090
Phone N0772-873-3000
E -Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailckongerl4@gmail.com
State or County License CAC1 814439
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.
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 TITLEHOLDER: _ 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 lender or an attornev before commencine work or recordine vnur Nntirp of Cnmmonromont
Signature of Her/ Lessee/Contractor as Agent for Owner
Signature of Coy tra for/License Hold er
STATE OY RIDA i '' (t ()
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STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or Online Notarization
Physical Presence or Online Notarization
this 29 day of My 2020 by
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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
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(Signature of Notary Publ'
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