HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:1210412020 Permit Number:
V ' V ti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial)( Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Beauty Bloom Salon
PROPOSED IMPROVEMENT LOCATION:
Address: 6837 US-1 Port Saint Lucie, FL 34952
Property Tax ID h:
Site Plan Name:
Project Name: Bloom Be
DETAILED DESCRIPTION OF WORK:
A/C changeout, like for like. 3.5 ton package unit with 7kw heat strip
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank Gas Piping _Shutters Windows/Doors _Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of construction: $ 5964
_ Sprinklers
Generator _
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBloom Beauty
Name:Ramon Lalloo
Address:6837 U.S. 1
Company:Frigid Air LLC
City. Port Saint Lucie State:
Zip Code: 34952 Fax:
Phone No_(772) 323-9883
Address:1651 SE Goucho Ave
City: Port Saint Lucie State:FL
Zip Code: 34952 Fax:
Phone N0772-212-1113
E-Mail:bloombeautybtq@yahco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailRay@frigidair.cool
State or County LicenseCAC1819319
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: _ Not Applicable
Name:
MORTGAGE COMPANY: u 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:
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 Countymakes 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 posed on the jobsite before the first inspection. If-you-inte4ad to obtain financing, consult
with lender or an attnrnev hefnre commencinL7 work or recordirtV your Notic orn ncepnent.
_
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Signature of"Owner/ L
ee/Contractor as Agent for Owner
nature o ontractar/Licensed der
STATE O RIDA
STATE OF�iLORI
COUNTY OF
COUNTY
w n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Ph sical Pr ence
r Online Notarization
�h sical Pr nce or Online Notarization
t i day of
�, 2020 by
this day of 2020 by
Vr
019 ad e IL
74 tWo—T person making s atem6nt.
Name of person making statement.
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida j
(Signature of Notary Public- State of Florida j
Commission
Commiss
RACHAEL CLINTON
RACLtAEL CLINTON
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