HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2021 Permit Number: 'd'a5
® D
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
" v C\c
PROPOSED IMPROVEMENT LOCATION:
Address: 5808 Hickory Dr Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0454-000-9
Site Plan Name:
Building Permit Application
Commercial Residential X
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 2.5 split system with 10 kW heat; like for like: 15.5 SEER
CONSTRUCTION INFORMATION:
RECEIVED
JAN 2 0 -?i)21
Permitting Department
St, Lucie County
Lot No,
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4180
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tony Perdue
Name: James J Wauters
Address: 5808 Hickory Dr
Company: Just Chillin' HVAC LLC
City: Fort Pierce, FL State: _
Address: 5422 NW Cromey St
Zip Code: 34982 Fax:
City: Port St. Lucie State: FL
Phone No. 772-216-4210
Zip Code: 34986 Fax:
Phone No 772-940-4373
E-Mail: perduel@hotmail.com
Fill in fee simple Title Holder on next page (if different
E-Mail justchillinair@hotmail.com
from the Owner listed above)
State or County License CAC1819351
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DO
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
tut
_ Not 4511cable
Name:
Address:
Name:
Address:
Permitting Department
St, Lucie County
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ature of UWner/ Lessee/Contractor as Agent for Owner
Si ature of Corlfracfor/�LFicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5*.
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this2�l day of JN4\ 20�A by
this a'\ day of _10k 4 20 7.'A by
-50%vive6 WAa"if tTS
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificati
flti
Type of Identification
Produced-
Produced
(Signature of No A a I ELSEN
(Signature of Notary Public- State of Florid
o State of Florida -Notary Public
Commission No. =_ ." missi46�I�G 207484
,�� �,,, KAREN S IF�LSEN
Commission No. . tP"f °"s% of Florid iq ry Public
=?q P My Commission Expires
;_
=„ Commission # GG 207484
-
'0,11F°�` June 12, 2022
=a o�: i as
June 12, 2
322
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Rev. 2/7/19