HomeMy WebLinkAbout20201007171052822All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/07/2020 Permit Number:
smIUI IE
OU rWry
F L O R I D A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8206 Fort Pierce BLVD Fort Pierce, FL 34951
Property Tax I D #: 1301-608-0139-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
HVAC
LRP4A036 3 ton 14 seer 36,000 btu package unit
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Ad
ditional work to be performed under this permit– check all that apply:
_Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ !�;n 7-0 "
Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 10
Block No. 93
—Windows/Doors _Pond
_Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert A Anderson
Name: Mark Matakeatis
Address:8206 Fort Pierce Blvd
Company: Barker Air Conditioning
City: Fort Pierce State:
Zip Code: 34951 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 -Mail jenniferbarkerac@gmail.com
State or County LicenseCAC057252
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:
Name:
Not Applicable
MORTGAGE COMPANY: l/Not Applicable
Name:
Address:
STATE OF FLORIDA
COUNTY OF KiA.l�rvl
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY: VNot Applicable
Name:
Address:
A(.Lr V MQJQti.vn_ iZ3
Address:
City:
Name of person making statement.
City:
Zip: Phone:
Type of Identification
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 record d in the public records of St.
Lucie County and ggppsted on the jobsite before the first inspection. If you intenp to obtain financing, consult
with lendevor an/attornev before commencing work or recordingvouu; Notice f Commencement.
Rev.5/b/20
Signature of Owner/ L ss e/Contractor as Agent for Owner
Signafure of Contractor/Lic-ensedilolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF KiA.l�rvl
COUNTY OF .LiA QtLii-� YLt U�
Sworn to (or affirmed) and subscribed before me of
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this Z day of 7j� , 2020 by
this 2�' day of C ii- . 2020 by
A(.Lr V MQJQti.vn_ iZ3
Yka,i�"I A(, lf.PoSG('�
Name of person making statement.
Name of person making statement.
Personally Known � OR Produced Identification
Personally Known 4L OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si atu Tof Notary Public- St e of Florida )
(Sign ur of Votary Pub ic- Sta e of Florida )
Co rri Zion No. 1103DY, NNIFERGINADGIARESCRI'141)
mission No. (4 N DOLORES CR
MY COMMISSION 0 HH
174 MY COMMISSION N HI
12bNTEROINA
EXPIRFS:Ma 25 202
FXPIRFS:Me 25 21
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/b/20