HomeMy WebLinkAboutBldg. Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/04/2021 Permit Number:
L,Uc_OL�
_ D I U U
U _ � 4� 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 FOR: New installation of 2.5 ton split A/C system w/ duct work
PROPOSED IMPROVEMENT LOCATION:
Address: 10007 South Indian River Drive, Fort. Pierce, FL 34982
Property Tax ID #: 3529-231-0005-000-8 _ Lot No.
Site Plan Name: Block No.
Project Name: Albert A/C Installation
DETAILED DESCRIPTION OF WORK:
Installation of new 2.5 ton split Trane HVAC system w/ all new duct work included. No electrical
New Electrical Meter Second Electrical Meter
f
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: Sq. Ft. of First Floor:
Cost of Construction: $ 11,372.92 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLuke Albert
Name: Edward D. Sasso
Address:6715 Lakeside Rd.
Company: E.D.S. Air Conditioning & Plumbing
Address:2200 4th Ave. North Ste. #1
City: West Palm Beach FL State:
City: Lake Worth State: FL
Zip Code: 33411 Fax:
Phone No.561-301-1306
Zip Code: 33461 Fax:
E-Ma il: LUKE@THEALBERTTEAM.COM
Phone N0561-586-7090
Fill in fee simple Title Holder on next page ( if different
E-Mail Permits@edsairconditioning.com
State or County License CAC1815515
from the Owner listed above)
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:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
MORTGAGE COMPANY
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY
Name:_
Address:
City:
Phone: I Zip: Phone:
Not Applicable
State:
Not Applicable
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 payin twicirf ' r
improvements to your property. A Notice of Commencement must be recorded in pu records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend t i ' ancing, consult
with lender or an attorneybefore commencingwork or recordingour Notice cement.
Signature ot'Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF q�(_ ffl
Sworn to (or affirmed) and subscribed before me of
X- Physical Presence or Online Notarization
this _� day of _ ( UAIE— 2021 by
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signat ' e of Notary Public- State of Florida )
Commission No. (Seal)
Signature of Contractor/Licens�-Aolder
STATE OF FLORIDA
COUNTY OF PALM BEACH
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 4 day of JUNE , 2021 by
EDWARD D. SASSO
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
1,14,V'la- //U-
(Signature of Notary Public- State of
Commission No. M-Cl k1l L I U--
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED
I
SEA TURTLE
REVIEW
Comm IGG91
�Thru i
MANGROVE
REVIEW