HomeMy WebLinkAboutBANDSTRA-PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/30/2021 Permit Number:
14 O11
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 8600 S. OCEAN DRIVE UNIT# 504 JENSEN BEACH FL, 34957
Property Tax ID #: 3534-502-0022-000-0
Site Plan Name:
Project Name: BANDSTRA
MAKE INSPECTION READY FOR EXISTING EQUIPMENT.
4 TON 14 SEER 10KW HEATER COMPLETE CARRIER SYSTEM.
New Electrical Meter Second Electrical Meter
X
Lot No.
Block No.
Adnal work to be performed under this permit— check all that apply:
ditiMechanical _Gas Tank Gas Piping __ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 790.00
Name TED 8 EMMALEE BANDSTRA
Address:8600 S. OCEAN DRIVE UNIT#504
City: JENSEN BEACH FLORIDA State:
Zip Code: 34957 Fax:
Phone No. 305-479-6916
E-Mail:
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: LUKE WALKER
Company: TREASURE COAST AIR
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail TCAC1990@ATT.NET/TCACSVC ,ATT.NET
State or County License CAC058476
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.
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
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 ran ttorney before commencing work or recordipg-ytsur Notice of Commencement.
Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 30 day of APRIL 2020 by
Z u/��
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification __---7
jaignatr of Notary P Ic- State
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Commission ppEL RISC,
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REVIEVA* FRONZ 2
DATE y .� "'yeogded00 `
RECEIVED public Under''
)ATE CM cTa'SE
(Seal)
Of
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 30 day of APRIL 2020 by
Name of person making statement
Personally Known x
Type of Identification
Produced
(Signatur of Notary F
Commission No.
SUPERVISOR I PLANS I VEGEI
REVIEW REVIEW REVI
OR Produced Identification
C. SUM ,
IANGROVE
REVIEW