HomeMy WebLinkAboutSanon_permit appAll APPCi ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 51712021
., ,
Planning and Development .Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (7 2) 452-1578
PERMIT APPLICATION FOR: AC CHA GEOUT
PROPOSED II IPR VEI IE NT LOCATION: 2908 S herw od Lane
Address: 2008 Sherwood Lane, Fort Pleree, Florida 34082
P rope rty Tax I D #: 2421-701-0012-000-8
Site Plan lame:
Project fame:
DETAILED DESCRIPTION OF WORK:
CHANGE OUT 2.5 TON SYSTEM FOR 2.5 TOIL SYSTEM
Residential X
NEW EQUIPMENT: A/H rnodel# M4AH4P32B1 BOOS► Cond. model# I I4A 40 OD1 000A
2.5 tors, 14.5 SEER, straight cool, 8 ITV electric heat, F410A
New Electrical Meter
Second Electrical Meter
CONSTRUCTIONINFORMATION.-
Additional work to be performed under this permit —check all that apply:
:mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost Of Eonstructi0n: 0 o ��
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of Fiat Floor:
Windows/Doors
Roof
Lot No.
Block No.
Utilities: _ Sewer Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name JEAN ANON
Narne: JAF ED TAIBL
Address: 2,908 Sherwood Lane
Company: TOP STANDARD INCORPORATED
City: FORT PIERCE State:
Address. 6 7 Sid DAIRY RD
City: POET SAINT LU IE State: FL
Zip Code. 34982 Fax:
Phone No. 77 - 7 -2457 -- - - —
Zip Code: 3495.3 Fax: -
E-Mari[: NONE
Phone No 833-87 - 776
Fili in fee simple Title Holder on next page if different
E-mail T P TA DARDA @GMAIL. DM
from t he Owner listed above)
State or County License CAC 1818900
If valu e of con structloIIls 2500 or m ore, a RECORDED Notice of Cor17rY encernent is reQLJ!red.
If vaIu* of HAVC is $7,500 or more, a RE DRDED Notice of Commenc ment is requiired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address-
itv: State:
Zip: Phone:
Address:
itv: State:
Zip: Phone ----- ----� - ..,_ _._
FEE SIMPLE TITLE HOLDER: x Not Applicable
(dame-
BONDING COMPANY: x Not Applicable
Name:
Address:
Address.
City:City:
zip: Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby ,rude 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.
t. Lucie Countymakes no representation that is granting a Permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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 wifth the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fallowing 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 ,gust be recorded in the public records of St.
Lucie Counter and posted on the jobs ite before the first inspection. if you intend to obtain financing, consult
with lender or an attornev before com encine work or recordine your Notice of Commencement.
ignature'of 0wner/ V see 6ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
W rn tc (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
#his day of 2020 b
Narne of person making statement.
Arl
Signature 9rontractor/
nse Holder
STATE OF FLORIDA
U NTF ]�Lx � _g
Sworn to (or affirmed) and subscribed before me of
Physical Presence r Online Notarization
this day of 2020 by
Name of person ,,raking staternent.
Personally Known CAR Produced Identification Personally Known � OR Produced Identification
Type of Identificati Type of Identification
Produced _ Produced
{Signatur .oLNo ary Public- State ofIorida}} z�
Commission No. lo I
N;�r C ��� _ �;;. �_, rug
13, 022
.t 4nt;_ AM.
{ ignature'af-Notary Public- State of Florida }
e
Commission No�Sal� � - L � Z39 i�-ExpfrL
REVIEWS FRONT ZONING 1 SUPERVISOR PLANS VEGETA170N SEA TURTLE MANGROVE
COULTER REVIEW REVIEW REVIEW REVIEW RFview REVIEW
DATE
RECEIVED
DATE
COMPLETED