HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8 / 31 / 2020 Permit Number:
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Building Permit Application
Planning and oevelopmentservices
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:6 JACARANDA LANE
Address: 6 JACARANDA LANE
Property Tax ID #: 34-14-501-1701-000-9
Site Plan Name -
Project Name: SILVERBLATT
DETAILED DESCRIPTION OF WORK;
PACKAGE UNIT A/C CHANGE -OUT NO DUCT WORK. RUUD 3.5 TON, 14 SEER
New Electrical Meter Second Electrical Meter
Lot No. 6
Block No.
CONSTRUCTION. INFORMATION:
Additional work to be performed under this permit —check all that apply:
_,_,Mechanical — Gas Tank , Gas Piping _ Shutters � Windows/Doors A Pond
_ Electric _, Plumbing _ Sprinklers T Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. $ 10,000 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARJORIE SILVERBLATT
Name:VICTOR SMITH
Address:6 JACARANDA LANE
Company: SERVICE EXPERTS HEATING & AIR CONDITIONING
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. T72-679-0099
Address:840 JUPITER PARK DR, STE 110
City: JUPITER State: FL
Zip Code: 33458 Fax;
Phone No561-747-5420
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MaiiAMBER_EGNASHER@SERVICEEXPERTS.COM
State or County License CAC1816603
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 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 Appiicab)e
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 ofthe granting ufthi5 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,
acces5orystructures, swimming pop|5,fences, walls, signs, screen rooms and accessory uses nnanother 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
Signature of Ownerl Les Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
— PhV,;iral Prp-;Pnrp or x Online Nntari7atinn — Physical Presence or _�_ Online Notarization
this 31ST day of AUGUST - 12020 by this 31sT day of AUGUST � 2020 by
VICTOR SMITH wCTOmSMITH
Name 4fperson making statement. Name ofperson making statement.
vally Known OR Produced Identification x� Personally Known ORProduced Identification »
n | Type nfIdentification
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Commission
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