HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /15/ 1
L- a
Planning and Development services
Building and Code Regulation Division
Permit Number:
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 3498.E
Phone: (772) 45 -1 3 Fax- (77 ) 4 -1 7
Commercial
Residential X
PERMIT APPLICATION FOR. A/C CHANGEOUT
PROPOSED IMPROVEMENT VE11 E[ T LOCATION: 9900 South Ocean Drive Unit 1005 Jensen Beach
Address: 9900 South Ocean Drive Unit 1005 Jensen Beach, Florida 34957
Property Tax 1D #: 450-503-0099-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
:
EQUIPMENT HAN E UT: 2 TON SYSTEM FOR 2 TON SYSTEM
NEW EQUIPMENT: National Comfort Products ( CP) 2 ton, straight cool, 5 kW ole trio heat, R 1 O
H model# PAH- 4-A Cord. model# l PE-4 4-3 10
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction. -
Cost of Construction: 000
W[ERLEEE:
T Gas Piping
_ Sprinklers
Name J EAN N ETT CORO
Address: 9900 South Ocean Drive Unit 1005
City: JENEN BEACH
Zip Code: 34957
Phone No. 30-33-3131
E-fail: ramcoroCO@aol.com
Fax;
Shutters
_ Generator
Sq. Ft. of First Floor.
Lot No.
Block Igo..
Windows/Doors Pond
Roof Pitch
Utilities: Sewer Septic Building Height:
State: rL -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Marne: JADED TAI8L
Company: TOP STANDARD INCORPORATED
RATED
Address: 67 SVV DAIRY RD
City: PORT SAINT LU IE state: FL
Zip Code: 34953 Fax:
Phone No 833-8 2-2776
E-Bail TOPSTANDARDAC@GMAIL.COM
State or County License CAC1818900
If value of construction is 2500 or more, a RECORDED Notice of Co m mencement is Mquired.
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement t is requite.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address-
City: State:
Zip: Phone...
MORTGAGE COMPANY: A Not Applicable
Name-
Address --
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Nam e:
BONDING COMPANY: x Not Applicable
Name:
Address.
city-
Address:
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.
5t. Lucie County mares no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Hone 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 frorn 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 Counter and posted on the jobite before the fiat inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording vour Notice of Com mencement.
Signature of ontractor Li
se holder
Signature f Ownr/ ± see/Contractor as Agent for Owner
i
f
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF
COUNTY OF
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w9m to (or affirrned) and subscribed before me of
wor o (or affirmed) and
subscribed before me of
t Physical Presenc or� Online Notarization
� Physical Presence or
� Online Notarization
this 1 day of � .., - f 0 by
this day of ��,;F;��
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known n �
OR Produced Identification V/
Type of Identifit ion
Type of Iden ication
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Commission No. _
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