HomeMy WebLinkAboutSuarez Permit Application 10-27-2020All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ID 2Y 2a$D Permit Number:
8
v 6 e a e L) t Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential f/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 9550 S. Ocean Drive, #2004, Jensen Beach, FL 34957
Property Tax ID #: 4502-601-0188-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Suarez, Heather
DETAILED DESCRIPTION OF WORK:
Install A/C system like for like
3.5 Ton Water Source Heat Purim. 13.3 seer
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi' I work to be performed under this permit —check all that apply:
'Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doom _Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 4950.00 Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Suarez, Heather
Name: Daniel Shawver
Address: 9550 S. Ocean Dr. #2004
Company: DS Air Conditioning, Inc.
City: Jensen Beach, FL State: _
Zip Code: 34957 Fail:
Phone No. 561-379-7490
Address: PO Box 197
City: Jensen. Beach State: FI
Zip Code: 34958 Fax: 772-679-0103
Phone No 772-335-4531
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@c1sairconditioning.com
State or County License CAC058715
It value otconstruction Is Z590 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:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Assoc permit
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 nonresidential 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 osted on the jobsite before the first inspection. If you intend to obtain financing, consult
len eror an aftoraw before commencing work orrecordinffycwr Notice of Commencement.
Signature of w r/ Lessee/ ntractor as Agent for Owner
Sign a of Co clot/License Holder
STATE O LORIDA
STATE' F FLORIDA
COON OF it
COUNTY OF Mc'1Yti (�
53 r to (or affirmed( and subscribed before me of
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
V P,,hysical Presence or Online Notarization
this day of OC+oYeC .2020 by
this_[dayof n&OEf e_ • 2020 by
17aa-u-N ShaluVair
Daoid shat)yL'li
Name of person making statement.
Name of person making statement.
Personally Known / OR Produced Identification _
Personally Known I/ OR Produced Identification _
Type of Identification
Type of Identification
Produced
Produced
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(Signature
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(Signature of I t
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Commission
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