HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-22-21 Permit Number:
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: BARBARA FISHER
PROPOSED IMPROVEMENT LOCATION: VENTURE 3
Address: 10701 S. OCEAN DR. #631
Property Tax ID #: 4511-805-0032-000/5
Site Plan Name:
Lot No.
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF A 2.5 TON 14 SEER ARCOAIRE PACKAGE UNIT WITH 5 KW HEAT
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: $ 3800 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BARBARA FISHER
Name: MARK HILL
Address:10701 S. OCEAN DR. #631
Company: BEST CHOICE A/C INC.
City: JENSEN BEACH State: F-
Zip Code: 349576 Fax:
Phone No. 561-504-0880
Address:332 SW ENON STREET
City: PORT SAINT LUCIE State: FL
zip Code: 34953 Fax:
Phone No 772-871-5757
E-Mail: BOOPFISH@COMCAST.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail BESTCHOICEACPSL@GMAIL.COM
State or County License CAC1815606
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
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
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recordine vour Notice of Commencement.
gn ur of w �/ Lessee/Contractor as Agent for Owner
Sig f ntr ki s ' Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S I L uC zC
COUNTY OF ST Lc-)CZG
S o o (or affirmed) and subscribed before me of
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this-2 Z,day of 4:1ARC(+ 2020 by
this 7%day of 14.4a(J 202t by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced �� �L
Produced FL bL
RY Dustin C. Beard
(Signature of Notary Public- State of Flo r' °° NOTARY PU
Lk&gnature of Notary Public- State of FI s°� NOTARY PUBLI
+STATE OFFLORIDA
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Commission No. ( &-25cl( fly � e? Comm# GG2
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o o STATE OF FLO
9(tWmission No. L�C�ZS�� S'-( . Comm# GG2591
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2022 s"'VCE 19�� Expires 9/17/2
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