HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/5/2021 Permit Number:
`M L LUC HE
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: 2943 FIDDLEWOOD CIR
Property Tax ID #: 3425-702-0172-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT WITH 10 KW HEAT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION;
Additional work to be performed under this per
Mechanical Gas Tank Gas
Electric _ Plumbing Spri
Total Sq. Ft of Construction:
Cost of Construction: $ 4610
— check all that apply:
ng _ Shutters _ Windows/Doors Pond
rs _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: —
Name JOSEPH & PEGGY GERMANO
Name: CURTIS SAMMONS
Address: 1124 7TH AVE
Company: CUSTOM AIR SYSTEMS INC
City: WATERVLIET State: _
Zip Code: 12189 Fax:
Phone No. 518-466-0089
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No 772-335-3232
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
IT Value of Construction Is ZSUU or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice f Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 vour Notice of CnmmPnrPmPnt_
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ,p
COUNTY Sf
STATE OF FLORIDA
XS
OF uC C!
COUNTY OF ,Lu CI
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of t QbtaGc'_ , 2020 by
this _-� day of 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
e
1
(Signature of Notary blic- St of Florida)
(Signature of Notary Public- Stat f Florida )
Commission No. 0 5a s 2°".�' Pua,� CHRISTINE B ENGUS
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
CUSTOM AIR SYST MS, 1NC JOB INVOICE
- Air Conditioning Appliance Repair 3397
1615 SE Village Green Dr
'i ort .St LUCI'e�. t-I � � DZ
(772) 335-3232 15414080
CUSTOMERS ORDER NO.
DATE ORDERED
ORDER TAKEN BY
DATE PROMISED A.M.
P.M.
BILL TO
PHONE
ADDRESS � � ( � �
MEC NC
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HELPER
JOB NAME AND LOCATION
DAY WORK
CONTRACT
[j EXTRA
DESCRIPTION OF WORK
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
3.5
o
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t
HOURS
LABOR
AMOUNT
TOTAL
MATERIALS
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MECHANICS @
HELPERS @
TOTAL
LABOR
A q,
3 -7 4, s
5�.07
I hereby acknowledge the satisfactory
completion of the above described rk.
TOTAL LABOR
TAX
SI T RE
DATE COMPLETED)
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