HomeMy WebLinkAboutBIRCH PERMIT SIGNED AND NOTARIZEAll 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 Residential XXXXXXXXX
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Birch - Farragut
F� r a - �' r, F"' 3 f
gar$. �a
Address: 425 Popular Avenue Port St Lucie,, Forida 34952
Property Tax ID ##: 3419 - 510 - 0142 000 - 8 Lot No. 24
Site Plan Name: Birch - Farragut Block No. 14
Project Name:
AC Change of goodman 3.5 ton 14 seer 10 kw for a #rave 3.5 ton 14 seer I OKW
New Condenser Model: 4TWR4042G1000A New;Air Handler Model: TEM4AOC423413B
S
P
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
.,,_,Mechanical _ Gas Tank _ Gas Piping
_. Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost -of Construction:.$ 6,800.00
—Shutters —Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:,
Name Jacqueline Jo Birch Far;Mgut
Address: 42�, Popular Avenue
City: Port St Lucie m. _ '"w- State: —
Zip Code: 34952 Fax:
Phone No. (561 ) 315 - 4409
E-Mail: Karen.promag@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Sherried Watson
Company:Promag Energy Group INC
Addres,.3300 37th Street
City: Orlando State: FL
Zip Code: 32839 Fax:
Phone No (407) 380 - 5560
E-Mail Permits@promagenergygroup.coni
State or County License CMCA48033
If value of construction is 2500 or more, a RECORDED Notice of commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER ENGINEER: ^
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name.:
Name:
Address:
Address:
City:
State:
City: State.
Zip: Phone
Zip: Phone:
FEE SIMILE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:.
Zip: Phone:
Zip: Phone:
OVgNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes ind,representation that Is granting a permit will authorize the permit holder to build the subject structwil
which is in conflict with-*iy applicable Home Owners Association rules, bylaws or and covenants tkat may restrict or prohihitasuci'r
structure. Please consult with your Home Owners Association and review your deed for any restrir,tibni 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 it�,p yl g twice for s
improvements to your property. A Notice of Commencement must be recorgled JnlTe public records of' fit.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commenring work or recording vour Notice of CotnMencement_
i
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat o ontractor/License older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF (g-1 Pn a:2_
Sworn to (or affirmed) and subscribed before me of
Sworn or affirmed) and subscribed before me of
Physical Presence or Online Notarization
_IZPhysicai Presence or Online Notarization
this day of 2020 by
this day of . 2020 by
2 3i f 1 t
Name of person making statement.
Name of person malting statement.
Personally Known OR Produced Identification
Personally Known !/ OR Produced Identification
Type of Identification
TYPTKIden ' icati n
Produced
ro uce
Signature of No =g... 1lAfiaB021�4515
2Z
(Signature of Notary Public- State of Florida }
Commission
Commission No. (Seat) )
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Commission No. ro� �ptiesi�layl � 7D1g
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE
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DATE
COMPLETED
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Rev. 5