HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/02/2020 Permit Number:
o ,
11 Ir"UMTOnFun NBuilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercialx Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4250 N HIGHWAY Al 601
Property Tax ID #:
Site Plan Name: _
Project Name:
1423-501-0041-000-9
DETAILED DESCRIPTION OF WORK:
HVAC
TMM4BOA24 2 ton 14 seer
New Electrical Meter
BTU 4TTR4024 2 ton 8kw
Second Electrical Meter
CONSTRUCTION INFORMATION:
Add/itional 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: $ 5800
_Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
_Windows/Doors _Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Fobert
Name: Mark Matakaetis
Address: 6424 83rd ST
Company: Barker Air Conditioning
City: Middle Village State: _
Zip Code: 11379 Fax:
Phone No.
Address: 1936 Commerce Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-562-5340
Phone N0772-562-2103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maillenniferbarkerac@gmai;.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: Not Applicable
MORTGAGE COMPANY: ZNOt Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: of 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 m ay 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: Yo r failure to Record a Notice of Commencement may result in paying twice for
improvements to you property. A Notice of Commencement must be r corded in the public records of St.
Lucie Count an pos d on the 'obsi before the first inspection. f yo intend too tain financing, consult
withJe r n att ne f ke co mencin work or record'n ouriNotice of Cq ncement.
Signature of Contractor/License H Ider
Sign ture of wner/ Lessee/Contractor K Agent for Owner
STATE OF FLORIDA
COUNTY OF )'VAk to (l lam`
STATE OF FLORIDA
COUNTY OF �F)Vctticte.
Swo n to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
th s LHd day of JC>Lbla 2020 by
Sworn to (or affirmed) and subscribed before me of
CPhysical Presence or _Online Notarization
RS2 u;J day of OCA 2020 by
Name of person making statement.
Name of person making state a t.
Personally Known / OR Produced Identification
Personally Known_ OR Produced Identification
Type of Identification
Produced
Type of Identification
Produced
;
(Sign e of Notary Public- State of Florida )
(Si tur Notary Public- State of Florida)
Commission No. �Z� a IENNIFER INADOLORESC
MY COMMISSION HH
EXPIRES: May 25,2
ISM issionNo. �/f/3/7 ( fi"" TER GINADOLORESCRISN
13174 MY COMMISSION N 14H37
24 a!r EXPIRES: May 25,202
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.