HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/22/2021 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: A/C CHANGE OUT, EXACT NO DUCTWORK
PROPOSED -IMPROVEMENT LOCATION:
Address: 10003 PERFECT DR. UNIT 83
Property Tax ID #: 3327-703-0035-000-5 Lot No._ _
Site Plan Name. GOLF VILLAS II UNIT 83 Block No.
Project Name: RAMIREZ
DETAILED DESCRIPTION OF WORK:
EXACT A/C CHANGE OUT (LIKE FOR LIKE) NO DUCTWORK
r w nd
M U
New Electrical Meter Second Electrical Meter
160NSTRUCTION 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: $ 3695.00 Utilities: —Sewer —septic Building Height:
OWNER/LESSEE: CO TRACY R:
Name LEONARDO RAMIREZ Name: REYNOLD N. HAWTHORNE
Address: 10003 PERFECT DR. UNIT 83 Company: REYNOLD'S CERT. A/C SERVICES, INC.
PORT SAINT LUCIE State: Address:10716 158TH ST. N.
_
City:
34986 Fax: City: JUPITER State: FL
Zip Code: ---
Phone No, 561-215-0984 Zip Code: 33478 Fax: 561-744-1789
�
E-Mail: LE06565@AOL.COM Phone No 561-744-1789
Fill in fee simple Title Holder on next page j if different E-Mail REYNOLOSAIRCOND@HOTMAIL.COM
owner listed above) State or County License CAC018948
from the
f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
f value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
YSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: r1
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
91
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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
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 commenein work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor s Agent for Owner Signature of Contractor/License Mold r
STATE OF FLORID /�
STATE OF FL!!�e
OF� COUNTY OF '�t
COUNTY
Swc to for affirmed) and subscribed before me of Sw�o (or affirmed) and subscribed before me of
h Pres c or Online Notarization ical Pres nce ¢r _____ Online Notarization
sicai _'j_,�
day of Tl1 202¢ by this day of ! 202t by
this
_cn/ Name of per on making statement.
Name of perso making statement. J
lyi Personally Known OR Produced Identification Personalown OR Produced identification!/
Type of I fi
Type o entific Produc
Prod
i n of Notary P lir e gfj�gWOJ state of Fior.da (Sign re of Notary u ,tat i
J Einloth =° ° atY bhc S ete of Florxla
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mission No. aF ExPifes ar. reso2nq;2024
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEWS
COUNTER REVIEW REVIEW Rr VIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
County Certification Number: 32344 Planning 8, Development Services
Building & Code Regulation Division
2300 Virginia Ave
Ft Pierce, FL 34982
Phone: (772) 462-1672 Fax: (772) 462-1148
http alwww. sti uci eco. orglpl anni nglcontract_lic en. htm
Hawthorne, Reynold N.
Reynold's Cert A/C Service Inc
10716 158Th Street North
Jupiter, FL 33478
Class Code_ AIC CLASS 8
CERTIFIED
License Type: COUNTY CERTIFICATION
This Competency Card, issued by the St. Lucie County Contractor Certification Division, authorizes
work for the Class Code stated, for the unincorporated areas of St. Lucie County. It does not authorize
work for the City of Ft. Pierce, St. Lucie Village, or the City of Port St. Lucie. It is the Contractor's
responsibility to maintain this card in a current status by providing a Certificate of Insurance, current
address and telephone information, and renewing this card annually as required.
Wallet Contractor ID Card
Cut to fit, then fold in half
IDENTIFICATION CARD
County Certification Number 32344
Class Code: A/C CLASS B — CERTIFIED
This is to certify that HAWTHORNE, REYNOLD N„
REYNOLD'S CERT A/C SERVICE INC has been issued a
County Certificate in St. Lucie County, beginning on 4/27/2021
and ending on 8l3V2022, unless license is revoked.
Danielle Williams
Authorized Licensing Official
Expiration Date: 8/31/2022
Danielle Williams
Contractor Licensing:1
{772) 462-1fi72 4
Contractor Fax Line: (772) 462-1148
Automated Inspection Line: (866) 284-1280 ;
Inspection Line: (772) 462-2172
i
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