HomeMy WebLinkAboutJimenez Application'II 4PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
war.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: i
AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 5736 Sterling Lake DR Fort Pierce, FL 34951
Property Tax ID #: 1312-502-0158-000-4 Lot No.
Site Plan Name: PORTOFINO SHORES -PHASE TWO- (P1343-33) LOT 408 Block No.
Project Name: Jimenez AC Changeout
DETAILED DESCRIPTION OF WORK:
Install new 3 ton, 15 SEER, York A/C system with 8 kw heat strip
New Flectrical 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: $ 4424 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
_CONTRACTOR:
NameMike Jimenez
Name:Ramon Lalloo
5736 Sterling Lake Dr
Address.9
com any:Frigid Air LLC
P
City: Fort Pierce State: _
Address:1551 SE GOUCHO AVE
City: PSL State:FL
Zip Code: 34951 Fax:
Phone No,
E-Mail:
Zip Code: 34952 Fax:
Phone N0772-212-1113
Fill in fee simple Title Holder on next page (if different
E-MailRAY@FRIGIDAIR.COOL
State or County I icenseCAC1819319
from the Owner listed above)
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
ENGINE
Name:
Address:
City:
Zip: Phone
Not Applicab
State
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State,
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 paying twice for
improvem ur property. A Notice of Commencement must 4e-TeEU ed in the public records of St.
Lucie �Gn�tY and the .obsite before the first inspection-( you int d o obtain financing, consult
with,ifender or aty orney be re commencin work or recordin our ce of Co cement.
tractor as Agent for owner I Signature of
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
NP Physical Presence or Online Notarization
this day of YVYi i �Xl , 202t by
rr }
Name of person making statement.
Personally Known -y-) OR Produced Identification
Type of Identification
Produced
(Si tore of Notary ub ic- State of Florida }
STATE OF FLORIDA
COUNTY OF
Holder
Sworn to (or affirmed) and subscribed before me of
'0 Physical Pres nce or Online Notarization
this day of 202P by
Sin LoL)no
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Of np ii'-' , � A7�
(Signature of Notary Public- tate of Florida }
Commi nor„Commiss n RACHAE_L CUNT(%hl)
riA CLI��°a-Saa of FYondallotry Pubkc
,Noiary Public state of FYorid� _ i Commission # GG 318424
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My Comm ssion EKp ras '%',?a,.�,,'
REVIE S'%% FRONTApril UPERVISOR PLANS qp 1 ANGROVE
REVIEW REVIEW EW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED