HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2021 Permit Number:
PLC; 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: Demaio Residence
PROPOSED IMPROVEMENT LOCATION:
Address: 8142 Carnoustine PI.
Property Tax ID#: 3327-503-0057-000-1 Lot No.132
Site Plan Name: Francine Demaio Block No.
Project Name: Francine Demaio
DETAILED DESCRIPTION OF WORK:
Change out like for like 3 ton Trane split system with 10kw heat.
New Electrical Meter Second Electrical Meter
GfJNSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric ®Plumbing Sprinklers _Generator _�_Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Francine Demaio Name:Frederick Miller
Address:8142 Carnoustine PI Company:Miller's Central Air
City: Port St. Lucie State:_ Address:109 NW 7th Ave
Zip Code: 34986 Fax: City: Okeechobee State:FI
Phone No.516-417-2236 Zip Code: 34974 Fax:
E-Mail: _ Phone N0863-467-1545
Fill in fee simple Title Holder on next page(if different E-Mail[aura@millerscentralair.com
from the Owner listed above) State or County LicenseCAC058675
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 MORTGAGE COMPANY: _ 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.
Signature of Owner Lessee/Contractor as Agent for Owner Signature oVIContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sc.Lucie COUNTY OF st 1-„-, _
Sworn-to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or ---Online Online Notarization
this 19 day of January 2020 by this 19 day of January 2020 by
Frederick Miller Frederick MimHer
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Pr uced Produc --
/ a,—& A('//;--A _
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g atu e of Notary Public-State of Florida ) � G,�tis� a Ignature of Notary Public-State of Florida Qy���,'�o,�. �m`
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Commission Na.G�3,1 7 Z ( �5�0� �Q`JcA Commission No.046a 123172— �1A °I°
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REVIEWS FRONT •• ERVISOR PLANS VEGETATION .U.. LE�oa ANGROVE
COUNTER s 0° REVIEW REVIEW REVIEW ftl�1 0° REVIEW
DATE ;t.Eq;:
RECEIVED
DATE
COMPLETED
Rev. 5/6/20