HomeMy WebLinkAboutChiancone PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/17/2021
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: A/C Change Out Chiancone, Dennis
PROPOSED IMPROVEMENT LOCATION:
Address: 36 Nettles Blvd., Jensen Beach, FL 34957
Property Tax ID #: 4502-501-0222-000-3 Lot No.
Site Plan Name:
Project Name: Chiancone, Dennis
DETAILED DESCRIPTION OF WORK:
Block No.
A/C Change Out like for like Bryant 4 Ton 14.5 seer 8kw CU M#-114CNCO48 A/H- M#-FB4CNP048L
AHRI-9296495
New Electrical Meter Second Electrical Meter
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. FA"of Construction Sq. Ft. of First Floot:
Cost of Cor(struction $ Utilities: _ Sewer Septic'''' Bu(Idl; ;.Height
OWNER'f L S3�E.
CONTRACTORS 1 "�- :.,,
Name CHIANCONE, DENNIS
Name: DANIEL SHAWVER
Address:37 NETTLES BLVD.
Company: DS AIR CONDITIONING, INC
City; JENSEN BEACH State: ,
Address: PO BOX 197
Zip Code: 34957 Fax:
City: JENSEN BEACH State: FL
Phone No. 216-287-5287
Zip Code: 34957 Fax: 772-679-0103
E-Mail:
Phone No772-335-4531
Fill in fee simple Title Holder on next page ( if different
E-Mail info@dsairconditioning.com
from the Owner listed above)
State or County License CAC058715
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: i
Name:
City:
Zip:,
FEE SIMPLE TITLE HOLDER: _ Not Applicable
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:_
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
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 Fermit will authorize the emit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws oor and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your tleed for any restrictions which may apply.
Inconsideration 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 lender or an attornev before commencine work oc-recordine vour Notice of Commencement.
Signature 10 er/ L ssee/Contractor as Agent for Owner
Slgnat r icense Holder
STAT F FLORIDA
STATE OF FLORIDA
NTY OF Nflr i \
COUNTY OF Flea. l"fin
SworgAo (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this.�dayof Q[Lr% .2020 by
Sworp to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this—il_dayof -fbME .2020 by
Da6,6'1 SYrawvPr
D36yl SY�wVer
Name of t e en[.
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Personall �60`.�g�ifi tion
of l ipA E1lPIRg17, z025
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Name of perso
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Personally Nno '
Type of ldentifi • ,,,,, kraProduce
Produced
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NMEXPBARETJD2M—
IOR'RARWgaTYPe
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l.I-IQ-UCJLlA1dy"
(Signature Notary bli<-State of Florida)
(Signature of aary PubllW
State of Florida I
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
ev.576