HomeMy WebLinkAboutbuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/31/2020 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 TYPE: CONDENSER ONLY CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S OCEAN DR LOT #200. JENSEN BEACH FL 34957
Property Tax ID #: 4511-501-0189-000-7
Site Plan Name: HOLIDAY OUT AT ST LUCIE BLK F LOT 16
Project Name:
Lot No. 16
Block No. F
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ONE 4 TON 14 SEER RHEEM HEAT PUMP CONDENSER ONLY USING R410A REFRIGERANT
-
CONSTRUCTION INFORMATION: -I
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: Sq. Ft. of First Floor:
Cost of Construction: $ 3200 Utilities: _ Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David C MacDonald
Name: Juan Cruzado�
Address: 200 West 1st Ave
Company: Jensen Beach Air & Heat LLC
City: Wildwood, NJ State: _
Zip Code: 08260 Fax:
Phone No. 609-729-7417
Address: 2092 SE Hanford Rd
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No 772-334-3200
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jensenbeachac@gmail.com
State or County License CAC1818779
vuuc w Lull.�u uLL4ull 1�.?43UU ur more, a mrwrcutu ivouce or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
'Si1RP 11 NT�IL.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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
O
�
Si a e of Owner essee/Contractor as Agent for Owner
Si re of Contractor/License Holder
STATE OF FLORIDA ICOUNTYOF (�
STATE OF FLORIDA—�Zyt
COUNTY OF Or.
The A ing instrun nt s a knowled e ore me
this da of 20
bnl
They ing ins#et acknowledg b fore me
this d y of2 Mo
Name of person making atement.
Name of person maki statement.
Personally Known OR Produced Identification
Type of Identification
Produced �\
1
Personally Known OR Produced Identification
Type of Identification
Produc
(Signature of
Commission N
t
of Florida \�
E,ms OW25024
(Signature of N -
Commission N c N SC of
+� MY Commission HH 0070es
a Expirn 08/251II
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 717/19