HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /03/2020
ccci`LL Ez
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: HARDY, STEVE
PROPOSED IMPROVEMENT LOCATION: 989 NETTLES BLVD JENSEN BEACH, 34957
Address: 989 NETTLES BLVD. JENSEN BEACH, FL 34957
Property Tax ID #: 4502-501-1176-000-2
Site Plan Name:
Project Name: HARDY
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 3 TON 14 SEER 8KW BRYANT PACKAGED UNIT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3800.00
Lot No.45
Block No. 021
Gas Piping _ Shutters _ Windows/Doors _ Pond
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NameSTEVE HARDY
Name:LUKE WALKER
Address: 989 NETTLES BLVD
Company: TREASURE COAST AIR CONDITIONING
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.410-963-3419
Address:1055 SW MARTIN DOWNS BLVD
City: PALM CITY State: FL
Zip Code: 34990 Fax: 772-28-7046
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
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:
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:
Zip: Phone:
City:
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 ► 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 an attorney before commencing work or recordif g your Notice of Commencement.
SignaturAe"of Owner/ ct sso/Contraor as Agent for Owner
STATE O ORIDA �A�T/4)
COUNTY OF i�
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this � day of 2020 by
Name of person making statement.
Personally Known li OR Produced Identification
Type of Identification
Produced
v�
(Signature otary lic- State of Florida )
Commission No. (Seal)
Signat
STATE'Of-FMRIDA A�
COUNTY OF
Sworn '(or affirmed) and subscribed before me of
_LZPhysical Presence or Online Notarization
t is day of%yUEM>2 2020 by
Name of person making statement.
Personally Known G� OR Produced Identification
Type of Identification
Produced
(Signaturekff Notary Public- State of Florida )
Commission No. ,��������,ce�C�#1�11/401 (Seal)
���� •'MM�ssroN •c0
REVIEWS =
=Irs
:FRONT
ZdNIN(I
SUPERVISOR
PLANS
)LI*L-TATION
�rTURTlE
MANGROVE
SOU R-0
REV3ii/ X
REVIEW
REVIEW
S�gJIEW -•
RE�CIEVy
REVIEW
DATE
RECEIVED '
9� ' yA°°ded th<
<JO;.
�9�� you°aed
5`
�O\��
the
<3r
�i/e
��/Z/C
COMPLETED
S7AlE
�*\`
STATEQFO�\\\\
ev.