HomeMy WebLinkAboutPERMIT.APP.SAUNDERSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: A/C CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 1U10Z 0. UUL IN UH1VC IP 511
Property Tax ID #: 4502-803-0038-000-3 Lot No.
Site Plan Name: Saunders Block No.
Project Name: Saunders
DETAILED DESCRIPTION OF WORK:
l/'N Ti i n n 1/�r �iT
'"a k- rvvuL uu 1 - 1'+ aCCrt Z.O I UIN , IVIF h 146UAJ1 NA, Hl3HP21J07SH2B, 8KW
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
Electric _ Plumbing _ Sprinklers Generator
Windows/Doors Pond
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ aQD •� Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KENNETH SAUNDERS
Name: Joshua Roberts
Address: 10152 S. OCEAN DR
Company: DOCS OF THE TREASURE COAST, INC
City: JENSEN BEACH State: _
Zip code: 34957 Fax:
Phone No. 7542452066
Address: 866 12TH AVE
city: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No (772)713-7716
E-Mail: S000195492@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail AIRDOCS_ADM(LDYAHOO.COM
State or County License #12702, # RA13067525
n value or construction is r5uu or more, a KtLUKL) u 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:
n\A/IUCQ% lYlWTO A r-rr%rf Arrr%%F .
-. �. I vv--' -
rk 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 your Notice of Commencement
I
Signature
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 2 day of FEBRUARY 2020 by
Name of person making statement.
Signature/,6f 06tractor/Lice
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 2 day of FEBRUARY 2020 by
Name of person making statement.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/21
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: A/C CHANGE OUT
I PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S. OCEAN DRIVE # 511
Property Tax ID #: 4502-803-0038-000-3
Site Plan Name: Saunders
Project Name: Saunders
Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT - 14 SEER 2.5 TON, M# RA1430AJ1 NA, RBHP21J07SH2B, 8KW,
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: Sq. Ft. of First Floor:
Cost of Construction: $ 5 aOD.� Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KENNETH SAUNDERS
Name: Joshua Roberts
Address:10152 S. OCEAN DR
Company: DOCS OF THE TREASURE COAST, INC
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No. 7542452066
Address: 866 12TH AVE
city: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No (772)713-7716
E-Mail: S000195492@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail AIR DOCS_ADM9YAHOO. COM
State or County License #12702, # RA13067525
--• -- — w v, ill—, a n--nuru rvuuce oT %-ommencement 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:
Name:
Address:
City:
Zip: Phone
— Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Narne:_
Address:
City
Zip:
Phone:
Not Applicable
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 your Notice of Commencement.
I
Signature gf VwAr/
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
r as Agent for Owner I Sign
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 2 day of FEBRUARY 2020 by
Name of person making statement.
ntractor/License
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 2 day of FEBRUARY 2020 by
Name of person making statement.
Personally Known X OR Produced Identification Personally Known X
Type of Identification Type of Identification
Prgdvtd Produces
(Signat re of o
LEA a. BELL
(Signa r
2 • COMMISSION # GG 170551
Commission No.
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�-EXPIRES: De')25, 2021
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DATE
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OR Produced Identification
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