HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/08/2021 Permit Number:
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: HVAC CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:`
Address: 10725 S Ocean DR Lot 416
Property Tax ID #: 4511-502-0148-000-1
Site Plan Name:
Project Name: Schmitt A/C Change Out
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALLATION OF ONE 3 TON 14 SEER GRANDAIRE PACKAGE AIR CONDITIONING SYSTEM COMPLETE WITH 7 KW ELECTRIC HEAT & USING OZONE FRIENDLY 410A REFRIGERANT.
CONSTRUCTION INFORMATION;
Additio I work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4250 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
u
Name David Schmitt
Name: Juan Cruzado
Address: 10725 S Ocean DR Lot 416
Company: Jensen Beach Air & Heat LLC
City. Jensen Beach State: R_
Zip Code: 34957 Fax:
Phone No. 734-612-4353
Address: 2092 SE Hanford Rd.
City: Port St Lucie State: FL
Zip Code: 34952 Fax: n/a
Phone No 7723343200
E-Mail: dpatrick5675@gmail.comP
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL. CONSTRUCTION LIEN LAW IN
RMATION
DESIGNER/ENGINEER: Not Applicable
,Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: _ Stater
Zip: Phone
Zip: Phone: l
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Nance:__
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
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."
S' ire o Owner/esse Contractor as Agent for Owner
Signat r�-of Contractor/License- oiler
STATE OF FLORIDA
STATE OF FLORIDA
j
COUNTY OF !
COUNTY OF
The oing ins # acknowiedg before me
The f oing inst as acknowied before me
this d ofi �._.._.._._....... 20 by
this ._ __ day of _ __..._.._.> 2 by
U
'
Name of person ma kin statement
Name of person ma kin statement.
'
Personally Known OR Produced Identification.,,,,-,.....
_.
�
Personally KnowQR Produced Identification
n
I
!
_
Tye
_ _
Type ldentification
i
j1dntificat
r
AA
Pr e
_tSItJ4 of Nota P
_I
IN ta of Florida
o S ri
j Commission' f f�ycom iasion
J Expires 0812512024
Commissi
t t I� t ��e a a1)
0ff1252024 fission 0
y . Ex007®
+� _Expires
i V0/
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
�
REVIEW
REVIEW REVIEW REVIEW
(SATE
RECEIVED
..._.._..__._..._.__
DATE.___
._.�____.....I
COMPLETED
Rev. 2%7%i9