HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/30/2021 Permit Number:
G1ro
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13 a 3• a o t 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: A/C Change
Out
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Address: 82 Aqua Ra Drive, Jensen Beach, FI 34957
Property Tax ID #: 4511-811-0017-000-3 Lot No. 16
Site Plan Name: Block No. A
Project Name: 82 Aqua Ra Drive - A/C Change Out February 2021
Like for like air conditioner change out. 3 ton with 10kw electric heat.
New Electrical Meter no Second Electrical Meter no
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: N/A
Cost of Construction: $ 5330
Sq. Ft. of First Floor: 1176
Utilities: _Sewer _Septic Building Height:
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Name Jeff Felix
Name: Anthony Fenn
Address: 82 Aqua Ra or
Company: A. S. Fenn LLC dba Assured Air Conditioning
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. (813)466-8123
Address: 278 NE Surfside Ave
City: Port St Lucie State:Fl
Zip Code: 34986 Fax:
Phone No (772)202-2005
E-Mail: if3006@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail anthony.Fenn@assuredairconditioning.com
State or County License CAC1820274
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.
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DESIGNER/ENGINEER: =Not
Applicable
MORTGAGE COMPANY:
x Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
x 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 Coxxnty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with leadkr or an attorney before commencing work or recordift your Notice of Commencement.
Signat a of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License
Holder
STATE OF FLORID
STATE OF FLORIDA
/
COUNTY OF �T LU/�1
COUNTY OF ��-i
Swo n to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed
before me of
Ph sical Presence or
Online Notarization
X Ph sicaI Presence r
Online Notarization
this�dayof�2020
by
thisv2dayof
2020 by
Name of person/ aking statement.
Name of person rnaking statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Producedi
(Signature Of Notary Ub iC- Sta
"Ida) CATHERINE A WEINMAN
Notary Public State
( gnatUre Of Notary Pub' - Sta of - jda ) CATHERINE A WEINMAN
Commission No. O
- of Flor
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?°�• t�`nr Notary Public - State of Flori
9 Ee`�Ce Trn.mission ks23, 2
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Bonded through National Notary
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Bonded through National Notary Asti
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