HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/8/2024 Permit Number:
"MW �
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Building.!?&Mit Application
Plonning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462=1553 Fax:(772)462-1578
PERMITAPPL.ICATION FOR:MECHANICAL
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PFt{ POSEDi��UfPR �IE1EN1LOCTIaN �. � � t ._�h �� �;� r
Address: 9500 S OCEAN DRIVE,UNIT 1403,JENSEN BEACH,FL 34957
Property Tax ID#: 4502-602-0127-000-7 Lot No.
Site Plan Name: CIMINO,LINDA AND SIL Block No.
Project Name: CIMINO,LINDA AND SIL
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REPLACE AC,LIKE FOR LIKE,OF A 2.5 TON,BOSCH WATER SOURCED HEAT PUMP,BSV030tVT'C 1 LEFT RETURN
New Electrical Meter Second Electrical Meter
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Addition l work to be performed under this permit—check all that apply:
echanical _Gas Tank --,-Gas Piping Shutters. Windows/Doors _Pond
=Electric Plumbing Sprinklers Generator Roof Pitch '
Total Sq. Ft of Construction: Sq.Ft. of First Floor:
Cost of Construction:$ 6800.00 Utilities: Sewer _Septic Building Height:
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O.a dd FERC/t�SS4LEi jitz '� ^� ,CONT�FtACTORz � urij
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Name LINDA AND SIL CAMINO Name:JOHN PANKRAZ
Address:9500 S OCEAN DR, UNIT 1403 Company:ELITE ELECTRIC AND AIR
City: JENSEN BEACH Stater Address-1691 SW'SUOTH MACEDO BLVD
Zip Code: 34957 Fax: City: PORT SAINT LUCIE State:FL
702
Phone No.772-229-9455 Zip Code: 34984 Fax; 772-340-3_
E-Mail:LINDABUTCH91@COMCAST.NET _Phone No 772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County License CACI 816433
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.
�x�01,100
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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.
Inconsideration 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 posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Le see Contractor as Agent for Owner Signature.of Contractor Lice se Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF S t� e COUNTY OF S4.
wok n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
ysical Presence or Online Notarization �Physical Presence or Online Notarization
this Q day of 6 C' .2020 by this day of 0 CJ���,2020 by
Name of person making statement. Name of person making statement.
Personally Known L"/— OR Produced Identification Personally Known t>/1 OR Produced Identification
Type of Identification Type of Identification
Produced Produced
KONNI LENAE DEWITT ! ;,.•19yiv KONNI LENAE DEWITT
Nntnry Pub
i —State of Flori
(Signature of Notary Publidil »Jarl mission#GG 166915 (Signature of Notary Public-St @• da commission-P!GG 166915
y'+��+ o My Comm.Expires Dec 10,2021 -;•, toy Comm.Expires Dec 10,2 1
ugh National NolaryAsm. Uvough Nal(onal Notary As
Commission No. C-tI (� l)'' QIP Commisslon•No.C1C�1(z( I;
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20