HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/7/2021
Permit Number:
9�y°.
®�
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 FORA/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 532 Paurotis Ln, Fort Pierce, F134982
Property Tax ID #: 3410-503-0246-000-8 Lot No. 5
Site Plan Name: PALM GROVES/D BLK I LOT 5 (0.13AC) (OR 3402-2446) Block No. I
Project Name: A/C Change Out
DIET.WILEDODESCRI!PTION OF WORK:
3 Ton horizontal AC change out with 5kw electric heat
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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: N/A
Cost of Construction: $ 5485
Sq. Ft. of First Floor: 1450
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kathy wise
Name: Anthony Fenn
Address:532 Paurotis Ln
Company: Assured Air Conditioning
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. (772)979-2773
Address: 278 NE Surfside Ave
City: Port St Lucie State:Fl
Zip Code: 34982 Fax:
Phone No (772)202-2005
E-Mail: prolong-sdl@msn.com
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail anthony.fenn@ assuredairconditioning.com
State or County License CAC1820274
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.
x Not
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
Zip:
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 attornev before commencing work or record nkwour Notice of Commencement.
Signature of Contractor/License Holder
SignatuWA of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA /
COUNTY OF �T�i! jiF�/
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Ph sical Presenc or Online Notarization
X Physical Presence or Online Notarization
this�/ day of 2020 by
this day of 2020 by
Name of person king statement.
Name of person maliI statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si
(Signatur ublic- state of Florida )
appv'a�y., CATHERINE A WEINMAN
Commission a?�: ,n�'a,�^•. Notary Public - Sta�g�htoned
��J{ 04
Commission No. ,apse ooe, CATHERIry A pINMAN
fission n"G
r F;°' My Comm, Expires Aug 23, 20229'
cs�Stg'cf
,,`,. ., tary Publi at of Florida
S7 0,1 Commission K GG 239104
FA 8
nded throe h National
Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGET
VE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
09W0ZJ_1J