HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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L `T c 74 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:9960 S. Ocean Drive, Jensen Beach, FL
Address: 9960 S. Ocean Drive, Jensen Beach, FL 34957
Property Tax ID #: 4502-702-0000-000-8
Site Plan Name: Miramar II Condominium
Project Name: Miramar II Condominium
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: i
HVAC Improvements
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ HD RLA,9. US
_ Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name F I R L. I
Name: Douglas Cady
Address: 0 6 . 0 C-P— A N -
Company: AA Advance Air, Inc.
City: t (_ K sE BEAC. kk State:
Zip Code: �� -� ,ram Fax: $AiM7,
Phone No.q t 4A ;Z-
Address: 1920 NW 32 Street
City: Pompano Beach State: FL
Zip Code: 33064 Fax: (954) 935-5553
Phone No (954) 935-5584
E-Mail: /�� a„ COlJM(2�2 Qtyti AXL
Fill in fee simple Title Holder on next page (if differ
from the Owner listed above)
saubertaaadvanceair.com E-Mail sgaubert@aaadvanceair.com
State or County License Florida
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: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 mu%be r orded in the public records of St.
Lucie County and posted on the jobsite before the first inspectionou�nQl to obtain financing, consult
with lender or an attorney before commencin>? work or recordinF_r N c f Commencement.
Sign a of Owner/ Lessee/Contractor as Agent for Owner
5 E OF FLORIDA
COUNTY OF. C -Z W.I. /- l�
Sworn to (or affirmed) and subscribed before me of
It�Physical Presence or Online Notarization
Is day of 2024 by
Name of person making statement.
Personally Known �, OR Produced Identification
Type of Identification �4
Produced \\�\ VERNON� 51/,,
•' COAY
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(Signature of Notary Public- State cf Ada) `r
Commission No. IiA tk` s¢R.
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Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF B--.Id
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this a day of ejU 2020 by
La _A(A I CtC-:� C 0_CJ0
Name off rson making statemenf.
Personally Known X
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OR Pro�sl��al l r fi 'a on'�y
Type of Identification
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Produced
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(Si ature of Notary Public-
State'f F,,,,�� ���• P �;
Commission No.
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REVIEWS FRONT ZONING 0URl1i 8V�SOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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