HomeMy WebLinkAboutCRONIN-9521All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/13/2020 Permit Number:
li o L5OM E
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Building Permit Application
Planning 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
PERMIT APPLICATION FOR:CRONIN, WILLIAM
PROPOSED IMPROVEMENT LOCATION:
Address: 9521 LAURELWOOD CT FORT PIERCE, FL 34951
Property Tax ID #: 1327-701-0062-000-1
Site Plan Name:
Project Name: CRONIN
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 5 TON 14 SEER 5 KW RHEEM COMPLETE SYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 242
Block No. 13/27S
Additional work to be performed under this permit — check all that apply:
_Mechanical _ 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: $ 6200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWILLIAM CRONIN
Name:LUKE WALKER
Address:9521 LAURELWOOD CT
Company: TREASURE COAST AIR CONDITIONING INC.
Address:1055 SW MARTIN DOWNS BLVD
City: FORT PIERCE State: _
Zip Code: 3z-951 Fax:
Phone No.94-1-828-1251
PALM CITY
City: State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone N0772-692-1701
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construrtinn is 7rnn r,r .., _ ., ocr`nnm.
E-MailTCAC1990@ATT.NET
State or County License CAC058476
- - - -----••-_., ..., vnuncn Lcnicnn lb requirea.
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: _ Not Applicable
BONDING COMPANY: 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I er or an attorney before commencing work or recordi ur Notice of Commencement.
Sig ture of Owner/ Les Contrac s Agent for Owner
Signatu e of Contractor L e r
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STATE
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Swor o (or affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this L day of ��i !J/�FR 2020 by
this _,g_ day of acZk966 12020 by
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Name of person making state�aent.
Name of person making stagrent.
Personally Known _ /��OR Produced Identification
Personally Known/OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur Notary lic- State of Florida)
(Sign ure of Notary Public- State of Florida )
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