HomeMy WebLinkAboutROLAND APPLICATION_000064All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MARCH 11,21 Permit Number:
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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 Residential X
PERMIT TYPE: CONDENSER ONLY CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 1U/51 S OCEAN DR A9
Property Tax ID #: 4511-311-0013-000-0 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ONE 2.5 TON 14 SEER RHEEM CONDENSING UNIT USING OZONE FRIENDLY 410A REFRIGERANT.
CONSTRUCTION INFORMATION:
Addit' nal work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2,300.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John R Roland Jr
Name: JUAN CRUZADO
Address: 1112 Sunset DR
Company: JENSEN BEACH AIR & HEAT LLC
City: Brielle, NJ State:
Zip Code: 08730 Fax:
Phone No. 908-461-2633
Address: 2092 SE HANFORD RD
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772.334.3200
E-Mail: MPD313@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail JENSENBEACHAC@GMAIL.COM
State or County License CAC1818779
•• --•-- .....-1. . I ul ��w�c, a n«.vnvw iNuuce vi --ummencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: Not Applicable ��MCIRTGAGE
� COMPANY. Not Applicable..
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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 the Florida
plans, 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
i
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."
5 re of Owner/Te-sseefContractor as AgenforO
5ignat reConrctor/icenseolder
STATE OF FLORIDA
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Name of person making statement.
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Name of person maki statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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MY Commiasion HH 007088
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REVIEWS FRONT i ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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