HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/21
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE: HVAC
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential x
Address: 10701 South Ocean Drive #607 Jensen Beach, FL 34957
Property Tax ID #: 4511-413-0001-070-7
Site Plan Name:
Project Name: Preece, Gary - Like for like a/c change out
I DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Like for like 3ton 14SEER Package Luxaire a/c system change out with no duct work using Model:PCE4A3622 W/ 8KW HEATER
AHRI# 8560592
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
Total Sq. Ft of Construction:
Cost of Construction: $ 5,342.60
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Preece, Gary
Name: ROBERT CAMPBELL
Address:10701 South Ocean Drive #607
Company: BUILDING TECHNOLOGY SERVICES
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 7886 SE ELLIPSE WAY
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-600-7151
E-Mail: lexilexil (a)opponline.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail SUPPORT@BREATHEHEALTHIERAIR COM
State or County License CAC058685
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: 2— Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _LNot 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."
Signature of Contractor/ cense Holder
signatsvf Owner C ssee ontractor as Agent for Owner
STATE OF FLO IDA
STATE OF FLORLDA
COUNTY OF n')i3 ( >1
COUNTY OF n
The forgoing instrument was acknowledged before me
The V oing instrument was acknowledged before me
this day of 20,� by
thisday of ML1f (_" , 2019_1� by
Name of person king statement.
Name of person making st tement.
Personally Known /O OR Produced Identification
Personally Known )c OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
:�;aw• ��; DANI£L ENGU►NrJ
Notary public •State of Florida
OANI£L ENGLAND
4 .. Notary Public - State of Florida
X 'a Commission = GG 333670
`` Cammissiar s GG 333870
(Signature of Notary P blit:L ,�� r alai hatary Assn.
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(Signature of Notary u tc- rough a 1 al Notary Assn.
Commission No. 3 V (Seal)
Commission No. IS
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119