HomeMy WebLinkAboutBuilding PermitAIIAPPLICABLE INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTED
Date.0210412021 Permit Number:
I *-** Building Permit Application
Planning and Development Services
BuitdingandCodeRegulationDivisionCommercial-Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-7553. Fax: (7721 462-!578
PERMTT APPLTCAIoN FoR: A/C Condensor Change Out
PROPOSED I M PROVEM ENT LOCATION :
Address: 3400 Twin Lakes Ter Apt 206
Property Tax lD #:1327-704-0048-000-6 Lot No.
Site plan Name; Lakeshore village of meadowood phase 1 bldg 3004 unit 206 Block No.
Project Name:A/C Condensor Change Out
DETAILED DESCRIPTION OF WORK:
Replace a/c condensor only. 5 Ton 14 SEER.
New Electrical Meter Second Electrical Meter
CONSTRUCTION I N FORMATIO N :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
-
Pond
_ Roof _ Pitch_ Electric _ Plumbing _ Sprinklers _ Generator
Sq. Ft. of First Floor:Total Sq. Ft of Construction:
Cost of Construction: 5 $34s0'OO Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 25fl) or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
lrl3msKatrina Hogan Price (TR)
466r"r5.3400 Twin Lakes Ter Apt 206
Cityl Fort Pierce State: _
ZiP Code: 34951 Fax:
phone 116. 772-528-0676
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
gr136g;Marc Bergerman
Company .All Tech Refrigeration, lnc.
466pp5s.2377 SE Longhorn Ave
City:Port St Lucie State: FL
ZiP Code: 34952 Fax:
phone y6772-398-4428
6-1y1s1 1
mebergerman @comcast. net
State or CountY U6gn5sCAC1813888
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:State:
7ip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Add
City
zip:
ress:
State:
Phone:
FEE SIMPtE TITLE HOIDER: _ Not Applicable
Name:
Address:
City:
7ip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
zip:Phone:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication is hereby made to obtain a permit to do the work and instailation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
5t- .Lucie County.makes no repre.sentation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls ln contllct wlth,anY.?pplicable Home Owners Association rules, bylaws or and covenants that mav restrict d,r orohibit suchstructure. Please consult with your Home owners AssoCiation and ieti6w'toiji,ieed fd-any'reiiriiiicinsWtiiifi'iri:y"iilpiv.""'' """
ln consid.eration of the granting of this reguested 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 Rmendhenti.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structuret 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 forimprovements to your propeJ'ty, 4 Notice of Commencement must be iecorded in the-public iecords of St.
Lucie, County and posted on the jobsite before the first inspection. lf you intend to obtain financing, Consuiiwith lqnder or an atlgrygy lefqre commencing work or reiordins vour Notice of CommencemJnt]
STATE OF FLORIDA ^COUNW OF 5t [-".4-, q-
Sworn to (or affirmed) and subscribed before me ofL Physical Presence or Online Notarization
this#0r day ot atLlt r, r, 4 ,2O2Q bV
fflArc
Name of person making
Personally Known \ OR Produced ldentification
Type of ldentification
Produced
actor as Agent for Owner
(Signature of Notary Public-
STATE OF FTORIDA
couNw oF s* Lu-: e.
Sworn to (or affirmed) and subscribed before me ofX physical Presqnce or
-
Online Notarization
Personally Known tc OR Produced ldentification
Type of ldentification
Produced
Name of person makinflstatement.
(Signature of Notary Public- State
ZONING
REVIEW
FRONT
COUNTER
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW