HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/25/2021 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 yes Residential
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 'rrau'AmuNuIvi UKIVt
Property Tax ID #: 3406-600-0005-000-2
Lot No.1
Site Plan Name:
Block No.
Project Name: ferratex
DETAILED DESCRIPTION OF WORK:
Installation of a New Lennox 2 Ton 14.5 SEER Straight Cool Split System ;
New Lennox ML14XC1 S024-230 Quantum Coil 2 Ton Condenser,
New Lennox CBA25UH-024 Quantum Coil 2 Ton Air Handler; New Lennox ECBA25-5CB 5KW Heat Strip -,-
New Lennox ECBA25-5CB 5KW Heat Strip; New Thermostat;
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: $ 25 00-L-)[7 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EJS REAL ESTATE II LLC
Name- JAMES E DUPUIS
Address: 354 Eisenhower Parkway
Company: JIMMYS AC AND REFRIGERATION
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City: Livingston State: _
Zip Code: 07039 Fax:
Phone No. 954-895-3589
Address: 46 43RD CT
City: VERO BEACH State: FL
Zip Code: 32968 Fax: 772-299-3184
Phone No 772-562-8353
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or more
E-Mail INFO@JIMMYSAIR.COM
State or County License CAC1814821
-- -- 01 — illlenterneni 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
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
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
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 attorney before commencing work or recording our Notice of Commencement.
Dee
Signat e of Owner/ Lessee/Contractor as Agent for Owner
Sign re of Contracto /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
COUNTY OF INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
_ Physical Presence or Online Notarization
this 25 dayof MARCH, 2021
2020 by
this 25 day of MARCH, 2021 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produce
Produced
(Signature of Notary'P -
(Signatur Not
ogsr sty Notary Public State of Florida
Commission No. r RebectteP*Iey
Notary Public State of Florida
(}Q My Commission HH 083257
p � o Expires 0310&2025
Commission No. ^ Rebecca FegfraI)
y Commission HH 083257
�51 %of Expires 03/01Y2025
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