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HomeMy WebLinkAboutBuildling Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/1/2021 Permit Number: A J • RECEIVED - Building Permit Application MAR 01 1011 Planning and Development Services Building and Code Regulation Division Permitting Departmem 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Count, Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 207 Southland Dr Apt 2 Fort Pierce; FL 34982 Property Tax ID#: 2427-801-0107-000=6 Lot No. Site Plan Name: Block No. Project Name, DETAILED DESCRIPTION OF WORK: Replacement of a 2 ton split system with 7.2 kW; like for like;.14 SEER [CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers Generator Roof Pitch Total Sq. Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ 3574 Utilities: _Sewer ..—Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Sammanna Properties LLC Name:James J Wauters Address:29 Old Rock Rd Company:Just Chillin'HVAC LLC City: Yaphank, NY State:_ Address:5422 NW Cromey St Zip Code: 11980 Fax: City: Port St.Lucie State:FL Phone No.772-340-4622 T Zip Code: 34986 Fax; E-Mail: Phone No 772-940-4373 Fill in fee simple Title Holder on next page(if different. E-Mail justchillinair@hotmail.com from the Owner listed above) State or County License CAC1819351 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC 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: 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." I _ - - , Sig turd of Own /Le a nt oractor as Agent for Owner Si ure f Con act i se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ( I F. COUNTY OF The f rgoing instrument w -as cknowledged before me The forgoing instrum nt was cknowledged before me this_�-__day of �'Y 20� by this—L day of t( q 20:P(( by Name of person making statement. / Name of person making statement. Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of Identifira ion Type of Identification Produced _ Produced i (Signature o r' a t`Ngt''i v'1! Pub'c-State of Florida) K E LSEN1 ,•t,.rYa�,, AR N S. N Q4pRY P„e,, KAREN S. � ,'�:�> E IELS Commission d;° State of Florida N Public © s orb �of Fior EN Seal oinn,ission # Public ;qr o; Commission # GG 207484 ;; �Fo�� GG %FOFf�o��. My Commission Ex '�ni„++` ��Y Corn 207484 >une 12, 2022 une 12, 20 2 s REVIEWS FRO VISOR PLANS V7E LE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.