HomeMy WebLinkAboutBIRCH PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 8, 2021
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential xxxxxxxxx
PERMIT APPLICATION FOR: Birch - Farragut
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Address: 425 Popular Avenue Port St Lucie„ Forida 34952
Property Tax ID #: 3419 - 510 - 0142 - 000 - 8 Lot No. 24
Site Plan Name: Birch - Farragut Block No. 14
Project Name:
AC Change of goodman 3.5 ton 14 seer 10 kw for a trane 3.5 ton 14 seer 10KW
New Condenser Model: 4TWR4042G1000A New Air Handler Model: TEM4AOC42S413B
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New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,800.00
_ Gas Piping _Shutters _ Windows/Doors _ Pond
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
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Name Jacqueline Jo Birch Farragut
Name: Sherried Watson
Address: 425 Popular Avenue
Company:Promag Energy Group INC
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No. (561) 315 - 4409
Address:3300 37th Street
City: Orlando State: FL
Zip Code: 32839 Fax:
Phone No (407) 380 - 5560
E-Mail: Karen.promag@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@promagenergygroup.com
State or County License CMCA48033
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.
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MORTGAGE COMPANY:
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_ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Nat Applicable
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 ahy applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit+su&
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 lanrlar nr an ;;ttnrnpv hpfnrp cnmmpnring wnrk nr recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat o Contractor/License Hblder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this _ day of 2020 by
this _ day of .2020 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 Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5