HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� a Permit Number. _
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Building Permit Applicat on OCT 15 2020
Planning and Development services ,_
Building and Code Re Marlon Division x ` & 's` �n t
g Commercial LesBentia�-€r=� �`r,r
2300 Virginia Avenue,Fort Pierce FL.34982 --- R
Phone:(772)462-1553 Fax:(7772)462-1578
PERMIT APPLICATION FOR:
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Address: 3191 JET CENTER TERR/3601 INDUSTRIAL 33RD ST
Property Tax ID#: 1429-111-0001-000-8 Lot No.
Site Plan Name: ST LUCIE COUNTY FIRE DISTRICT STATION 4 Block No.
Project Name:
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LIKE FOR LIKE A/C CHANGE QUT9 FD CARRIER 5 ON HEATPUMP 10 KV!a TON HEgTPUMP WITH 1(1KW N 3 YIN HEAT PUMP 8 KW STEMS WITH WI;AT
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New Electrical Meter Second Electrical Meter
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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: $ '7,Q 80 Utilities: _Sewer, _Septic Building Weight:
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Name S-� LV6e Qo,,v%A Fire 0404 �O, 4 Name:MARK BLACKWELL
Address: 3LP0) Tn u Ar,, 3Sr4 S�: Company:BLACKWELL'&SONS A/C
City: Fiberce FibState:ft- Address:317 ST LUCIE LANE
Zip Code:3(4%j p _ Fax: City: FT PIERCE State FL
Phone No. .. Zip Code: 34946 Pax: — -
E-Mail: Phone No 7724611000
Fill in fee simple Title Molder on next page(If different E-Mail_ ,1.OI We(,..gftr�S.anS o►C aal.C nNz
from the Owner listed above:) State or County License CAC01816791
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,
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. 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 aaermit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Assoc ation 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 5t.Lucie County Amendments.
The following building permitapplications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,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 a=ney before commencing work or recording our Notice of Commencement.
Signature?Owner ssee/Contractor as Agentfor Owner Signature of C ntractor/License Holder
STATE OF FLORIDAe, STATE OF FLOR! A
COUNTY OFe- COUNTY OF -Or. L/
Swor o(or affirmed)and subscribed before me of Zi
r o(or affirmed}and subscribed before me of
Physical Presen,t�o�r_ Online Notarization Physicat Presp ce or Online Notarization
this,15-- day of c..,��� '2020 by �day of �2020 by
Name of person making statement Name of person malting stater
Personally Known OR Produced identification Personally Known OR Produced identification
Type of Identification Type of Identification
Produced Produced
(Slgnature f Not#ry Pubiic State of Florida} (signature of otaiy ublic- tate of Florida)
Commission No. (Seat) Commission No. 4.2 (Seal)
<t".P I. MELISS a.SPICER
REVIEWS E1 _ RVISOR PLANS VEGETATiO €� `TNfI>a�iLibiic• �JJg �!
SPICEof torr 1EW REVIEW REVIEW �, Mill. ires �3
DATE �' ammisstost it G0 28 678 Bonded through Na Ianal Notary Assn.
RECEIVED, ;'�etr' My Milli
Expires Feb 11,2023
DATE
COMPLETED
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