HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/1/2021 Permit Number:
O
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 7001 Paso Robles Blvd
Property Tax ID#: 1301-611-0104-000-2 Lot No.26
Site Plan Name: Block No. 105
Project Name: Ashley George
DETAILED DESCRIPTION OF WORK:
Change out like for like 3 ton split system with all new ductwork.
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 _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 1388 Sq. Ft. of First Floor: 884
Cost of Construction: $ 6945.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ashley George Name:Frederick Miller
Address:7001 Paso Robles Company:Miller's Central Air
City: Fort Pierce State:_ Address:20 W. Interlake Blvd
Zip Code: 34951 Fax: City: Lake Placid State:Fl
Phone No.386-397-5414 Zip Code: 33852 Fax:
E-Mail: Phone N0863-467-1545
Fill in fee simple Title Holder on next page(if different E-Mail laura@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. \ ,.�•
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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.
SignaturCK of Owner/Lessee/Contractor as Agent for Owner Sign of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.L.cie COUNTY OF ST.Lucie
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 Notarization
this 1 day of February 2020 by this?day of February , 2020 by
Frederick Miller Frederick Miller
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identifi to Personally Known x OR Produced Identifica
Type of Identification �ti Type of Identification
Pr uced � �'` Produced 1
-
Signature of Notary Public-State of F J0`4" (Signa ure of Notary Public-State of Flori IT
23 � 231 . y�o�
Commission No. �� Commission No. 2o Q\ ;
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REVIEWS FRONT SUPERVISOR PLANS VEGETATION S MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
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