HomeMy WebLinkAboutbuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/23/21 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:A/C CHANGE OUT - MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 7249 MARSH TER
Property Tax ID #: 3321-805-045-000-3
Site Plan Name:
Project Name: MCTIERNAN-24108713
DETAILED DESCRIPTION OF WORK:
REPLACE 4 TON AC SYSTEM
2 >14c
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
AdnaI work to be performed under this permit— check all that apply:
ditiMechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,565
_ Generator
Sq. Ft. of First Floor:
Lot No.80
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJUDITH MCTIERNAN / DONNA NOBILE
Name:NICHOLAS SANSONE
Address: 7249 MARSH TER
Company:SANSONE AIR CONDITIONING
City: PORT ST. LUCIE State: _
Zip Code: 34986 Fax:
Phone No.772-672-4023
Address: 945 N MILITARY TRL
City: HAVERHILL State: FL
Zip Code: 33415 Fax:
Phone No 954-794-1035
E-Mail:jmctiernanl@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@sansone-ac.com
State or County License CAC 051473
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: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
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 attorneybefore commencingwork or recor in our Notice of Commencement.
X
Signat wner/ Lessee Contractor as Agent for Owner
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Sworn to (or affirmed) and supsC,ribeed before me of
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� Physical Presence or _ Online Notarization
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Personally Known x OR Produced Identification
Type of Identification
Type of Identification
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REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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