HomeMy WebLinkAboutGEUDREAU-7039All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/13/2020 Permit Number:
CUME
P L , C z =
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GEUDREAU
PROPOSED IMPROVEMENT LOCATION:
Address: 7039 WILLOW PINE WAY PORT ST LUCIE 34986
Residential X
Property Tax ID #: 3322-621-0030-000-4 Lot No.21
Site Plan Name: Block No. 42-33
Project Name: GEUDREAU
DETAILED DESCRIPTION OF WORK:
INTSTALL NEW 3 TON 16 SEER 10KW 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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:GEUDREAU
CONTRACTOR:LUKE WALKER
� Name GISHLAIN GEUDREAU
Name: LUKE WALKER
Address:7039 WILLOW PINE WAY
Company: TREASURE COAST AIR COND. INC.
City: PORT ST LUCIE State:
Zip Code: 34986 Fax:
Phone No.
Address:1055 SW MARTIN DOWNS BLVD
City: PALM CITY State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No772-692-1701
_
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MaiITCAC1990@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
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
w' nder or an attorney before commencing work or rec9rding your Notice of Commencement.
Signature of n essee/Contractor as Agent for Owner
Signat of C ra r/Llce Ider
STATE OF FLORIDA
STATE OF FLORIDA
�1,�
/vr COUNTY OF M7-Z.x--1
COUNTY OF
Savor to (or affirmed) and subscribed before me of
Swop to (or affirmed) and subscribed before me of
✓
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of v� 2020 by
this -Z-3 day 2020 by
�ZVIA
nt.
Name of rson maki7zroduced
Name of person making sta�t.
Personally Known Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
�Y
(Signat of Nota ublic- State of Florida)
(Signature Notary Pu c- State of Florida/fflT )
Commission No. N►����I����yryi (Seal)
Co ��i�
Commission No. \\������1��1N11jil (Seal)
CD
��� •1SSIOly ��i
II � •.....
��� 1SSION ��i
REVIEWS
�J
:' ?RONT
f'6NIf�
SUPERVISOR
PLANS
VE TAT)ON
"o
SEA YQ.RTLT
MANGROVE
_
:COUNTE"
RE}/W\B
REVIEW
REVIEW
aVIEW -
- REVIEW =
REVIEW
DATE
RECEIVED
p y���dedlbt°
'`0•'QO`
p .
�9 •�?p�ode
1hc� i•� �O`
DATE
�i�i/C. STAtE
F\ ����
�iiiGe��. 3
AiE�F��
COMPLETED
iii
��
�i
ev.