HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE-COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/8/2021 Permit Number: b t)�0 �
Building Permit Application.
Planning and'Development Services
Building and Code Regulation Division -
2300 Virginia Avenue,Fort Pierce FL 34982 .-.
Phone:(772)462-1553 Fax:(772)462-1578 COi11MerCial Residential X
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 23 Florida.Way Port St. Lucie, FL'34952 :
Property Tax ID#: 3414-501-1701-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of la 3 ton•packaged unit with 10 M electnc'heat; like for like;14_SEER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit.—check all that apply:
_Mechanical' _Gas Tank Gas Piping _Shutters _Windows/Doors .
_Electric - _Plumbing :, _Sprinklers _Generator —Roof, Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4048' Utilities: SeweP _Septic Building Height: '
OWNER/LESSEE: CONTRACTOR:
Name Wynn Building Corporation Name:James J Wauters
Address:8000 S US Highway 1--Ste 402 Company:Just-Chillin'HVAC LL-C'
City: Port St. Lucie, FL State:_ Address:5422 NW Cromey St
Zip Code: 34952 . Fax: City: Port St.Lucie State`.FL
Phone No.772-359-7525 Zip Code: 34986 Fax:
E=Mail: Phone No 772-940-4373
Fill in fee simple Title Holder'on next ag' e'(if different E-M iliustchillinair@hotrhail.com
from the Owner listed above) State or County License CAC1819351
If value of construction is$2500 or more a RECORDED Notice of Commencement is required.
if value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:. _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 ofthe 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND`TO OBTAIN FINANCING, CONSULT ,
WITH YOUR LENDER-OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.7D
Si ature of 0 ner/Lessee/Contractor as Agent for Owner Si nature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo oing instrument was acknowledged efore me 'The forgoing instrument was-acknowledged before me
this day of 20tiy this day of �� � 20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificat j
Produced Produced
(Si of Florida) -(Si otary Pu c-State of Florida.)
ooaYP% ELLEN VAUGHN °LuiF,L
vOSP Levi '(PflYp
Co si State of Florida-Nn _[Se C _ s �Plgr EL Seal
:c Commission tart is � „; Of Ff "AUG )- # GG 270079 `; C? ?rid -.N HN
OF pLP
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REVIEWS FRO N SUPERVISOR PLANS 2 , ddRT MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW�� EW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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