HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/28/2020 Permit Number:
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M, U.� c - -y 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 FORUNDGREN
PROPOSED IMPROVEMENT LOCATION:
Address: 5906 FOXTAIL WAY FORT PIERCE FL 34982
Property Tax ID #: 3410-503-0251-000-6 Lot No.10
Site Plan Name: Block No. 1
Project Name: LINDGREN
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 3 TON 14 SEER 5KW 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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5280.00
Shutters _ Windows/Doors Pond
_ Generator — Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
NameSHARON LINDGREN
Address:5906 FOXTAIL WAY
City: FORT PIERCE
State: _
Zip Code: 34982 Fax:
Phone No.508-259-3729 OR 237-7888
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: LUKE WALKER
Company: TREASURE COAST AIR CONDITIONING INC
Address:1055 SW MARTIN DOWNS BLVD
City: PALM CITY FL
State:
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail TCAC1990@ATT.NET
State or County License CAC058476
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
)WNER/ rOKITRarrno ACCInviT. ,,__,.__..
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
city: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
- - • ^rr . a����� �� 1 ieleuy mace w ootain 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 recording our Notice of Commencement.
Sign Cure of 0 er/ L see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
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Name of person making sta ement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Sign a of Nota ublic- State of Florida )
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Signature of C ntra or/License Holder
STAT F FLORIDA
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Sworn or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
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Name of person making statement.
Personally Known OR Produced Identification
Type of Identification _ -
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(Signatur of Notary Public- State of Florida )
Commission No. ..*,N-`.Chr-►'+c���///a-
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