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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/2612021 Permit Number: `F LLcLL ` L " `, ` 1, 11 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 11168 Lands End Chase Property Tax ID #: 3321-803-0017-000-2 Lot No. Site Plan Name: RESERVE PLANTATION -PHASE VIA LOT11 Block No. Project Name: Kumar AC Changeout DETAILED DESCRIPTION OF WORK: AC Changeout Install 2.5 ton, 15 SEER, York A/C system with 5 kw heat strip 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: $ 4750 Utilities: — Sewer _Septic Building Height-. OW NERAESSEE: CONTRACTOR: Name Ramesh T Kumar & Pushparani Kumar Name: Ramon Lalloo Address: 11168 Lands End Chase company: Frigid Air LLC City: Port Saint Lucie State: _ Address: 1651 SE Goucho Ave Zip Code: 34986 Fax: City: PSL State: F Phone No. Zip Code: 34952 Fax: E-Mail: Phone No 772-212-1113 Fill in fee simple Title Holder on next page ( if different E-Mail RAY@FRIGIDAIR.COOL State or County License CAC1819319 from the Owner listed above) 1f value of construction is 2500 or more, a RECORDED Notice of Commencement If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Nat Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: State: City State: Gty: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 worx ono Insrau.uu a� +••4•�•� certify that no work or installation has commenced prior to the issuance of a permrt. 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 th2t 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 permii I do hereby agree that I wilt in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St Lucie County The following budding permit applications areexemptfrom 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. Lucunty and posted on the jobsite before the first inspection. If you intend to obtain financing, comult I .r.. ��+......... 0.�F.,�o r ...n nrina wnrlr n ar Ina Vnrlr IVnti[`P Af C1]rTlmprlCL°ment. i Si of ntractor as Agent for Owner t Con cloiLicense Holder �U)A./Co TATE OF FSTATE OF RID _ COUNTY OF r _4 }C t COUNTY OF Sworn to (or affirmed) and subscribed before me of x orn to (or affirmed) and subscribed before me of Online Notarisation Physical Presence_or _Online Notaruatinn Physi©I P or this day of 202f by this. J day of 202/ by nnLeA\rn Name of person making statement. Name of person making statement Personally Known OR Produced Identification Personally Known �OR Produced identification —Y--,--- Type of Identification Type of Identification Pr Produced S nature ' : "'tik RACHAEL CLINON fr Snatu +•. AACHAEL CLINTO ;�+•',-.; PubliC-Stars ofp�onds Commis :Notary »iesrll GG 3116ifW Commissio _ Noury Publ+c-Scan o My Commission Expires " '; ammiaman GG 3J42W4 ' ..,, My Commission Expires r 2022 ,,- REVIEWS FRONT 1 ZONING SUPERVISOR PLANS GROVE VEGETATION I SEA TUR L COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED wv. "/v/c�