HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/04/2020 Permit Number:
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:JIM VITALE
j PROPOSED IMPROVEMENT LOCATION:
Address: 153 NETTLES BLVD. JENSEN BEACH 34957
Property Tax ID#: 4502-501-0339-000-6
Site Plan Name: Lot No.02
Project Name:
VITALE Block No. 37S
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 2.5 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 p�Gas Piping— g _Shutters _Windows/Doors _Pond
_ Electric _ Plumbing _Sprinklers
_Generator _Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4000.00
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJIM VITALE
Name:LUKE WALKER
Address:153 NETTLES BLVD. TREASURE COAST AIR CONDITIONING
JENSEN BEACH Company:
City: State:_ Address:1055 SW MARTIN DOWNS BLVD
Zip Code: 34957 Fax: PALM CITY
443-694-1713 City: State:FL
Phone No.E-Mail: Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
Fill in fee simple Title Holder on next page(if different E-MailTCAC1990@ATT.NET
from the Owner listed above)
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 MORTGAGE COMPANY: X 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 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.
Sig ure of Own / essee on ractor as Agent for Owner Signatu of Contr r icense'Ffotder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 11141Z COUNTY OF /1111I2%/l—1
Swg,r1h to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
VV Physical Presence or Online Notarization Physical Presence or Online Notarization
this '/ da of 2020 by this__y day of o V 2020 by
Name of person making statement. Name of person making statteement.
Personally Known OR Produced Identification Personally Known °' OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signatur f Nota ublic-State of Florida) (Signature of otary Public-State of Florida)
Commission No. rhpi - 1/0,. (Seal) Commission No. 111# 0///14 (Seal)
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