HomeMy WebLinkAboutSIMPSON SAND SHOT WAYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-26-21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Edward Simpson
PROPOSED IMPROVEMENT LOCATION: 9103 SAND SHOT WAY 4312
Address: 9103 SAND SHOT WAY APT#A PORT SAINT LUCIE, FL. 34986
Property Tax ID #: 3327-502-0202-000-0
Lot No.
Site Plan Name: Block No.
Project Name: SIMPSON
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF A 2 TON ARCOAIRE 14 SEER A/C SYSTEM 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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 3850
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EDWARD SIMPSON
Name: MARK HILL
Company: BEST CHOICE A/C INC.
Address: 9103 SAND SHOT WAY 4312
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 860-625-1829
Address: 332 SW ENON STREET
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 772-359-1648
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail BESTCHOICEACPSLC 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:
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
_Not Applicable
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 commencing work or recording vour Notice of Commencement.
Sig o ner/ Lessee/Con ractor as Agent for Owner
STATE OF FLO" �� e_ COUNTY OF
S rn to (or affirmed) and subscribed before me of
thisP ysical Pres ce or Online No arization
day of 94yc" 202it by
WA 4- d(
Name of person making statement.
Personally Known OR Produced Identification
Type of Identifi do \
Prod ed P✓IV
yal�j WLW0D_
(Signature of Notary Public- State of Florida Lori A. De,S
tt 2 3b h o� o NOTARY P
Commission NoC] t ( STATE OF
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REVIEWS I FRONT ( ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature ra Li 'Holder
STATE OF FLORID I , ^�
COUNTY OF lJ�-n
Sw rn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
this Q day of 1%f 2024 by
Vus �i tl�
Name of person making statement.
Personally Known OR Produced Identification
Type of IdW4jficptJon
Lori A. DeSalvo
v1Signature of Notary Public- State of STATE OF F
BLiC Comm* GG 1
omission No. �j YJ l 30649 I�Expires 10/
SUPERVISOR I PLANS I VEGETATION ( SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW