HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/16/20 Permit Number:
E
ON-T'Y
F L�O�Li�l�l)�A
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 X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3920 N Al # 404
Property Tax ID #: 1423-505-0012-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
HVAC Changeout Air Handler
TEM6AOC42 3.5 Ton 10kw
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: $
_Generator
Lot No.
Block No,
_Windows/Doors _Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joseph D Mastromonaco
Name: Mark Matakaetis
Address: 3920 N HIGHWAY A1A 404
Company: Barker Air Conditioning
City: Ft Pierce State: _
Zip Code: 34949 Fax:
Phone No,
Address: 1936 Commerce Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-5340
Phone No 772-562-2103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jenniferbarkerac@gmail.com
State or County License CAC057252
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 p sted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender an4ktprney before commencing work or recording our Notice of Commencement.
U
Signature of Owner/ Lesse tractor as Agent for Owner
Signature of Contractor/ ense Holder
STATE OF FLORIDA
COUNTY OF Tjnc)..t% Q. os ^r
STATE OF FLORIDA
COUNTY OF t i �x . -
Sworn to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
this Lyf� day of 5;!P, + 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Prese a or _ Online Notarization
this 1&±l day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identificatia
Type of Identification
Produced
Produced
(Sig ure F Notary Public- State of Florida)
(Signs Lire o Notary Public- State of Florida ) ,
Commission No. H'ff3 h rJFkMR,'1N's'jE
RES4: May 25, 202
mi No. N H 3/2 �MMIS174 �IE FERGINADOLORESCOA
MY COMMISSION N HH31
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EXPIRES: May 25, 2024
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