HomeMy WebLinkAboutMCCUTCHEON-7420All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/2020 Permit Number:
fro LCUC HE
O _
�- 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:MCCUTCHEON RESIDENCE
PROPOSED IMPROVEMENT LOCATION:
Address: 7420 S OCEAN DR C-415
Property Tax ID #: 3522-604-0022-000-6 Lot No.35
Site Plan Name: Block No. 22S
Project Name: MCCUTCHEON
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 2 TON 15 SEER 5 KW RHEEM COMPLETE SYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ 4200.00 Utilities: —Sewer _ Septic Building Height:
WN ER/LESSEE:
CONTRACTOR:
eMCCUTCHEON
rAddress:7420
Name:LUKE WAKKER
Company: TREASURE COAST AIR CONDITIONING INC
Address:1055 SW MARTIN DOWNS BLVD
S OCEAN DR C-415
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.561-644-5744
City: PALM 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)
E-MailTCAC1990@ATT.NET
State or County LicenseCAC058476
-- ----- ----••---- • .. •� ��.. -1 ."' a n��,vnvw Iwu�e vi wrnmencemem: is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice 0
f Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not 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 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 lender or an attorney before commencing work or reqciLdJng your Notice of Commencement.
nature of Owner/ es a/Contractor as Agent for Owner
Signapre of Contractor/Lice Holder
STATI RIDA
COUNTY OF �%%'ty�TIiCJ
STATE OF FLORIDA
COUNTY OF
Sworcrfo (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 2020 by
this day of 2020 by
/
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Name of person making statement.
Name of person making statement.
li
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur Notary P ic- State of Florida)
(Signatur f Notary PubTic- State of Florida )
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