HomeMy WebLinkAboutBuilding Permit Jun 152021 12:17pm LOUIE'S AIR CONDITIONING 772-429-5267 P.1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (�-15 �o�j Permit Number: RECEiVED
ilk _ OU JUN 15 2021
O J' _„�, St. dee County
Building Permit pplication Perm"
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: C,
PROPOSED IMPROVEMENT LOCATION:
Address. ' ! -7 /t) V �S s' T � )C' )It
Property Tax ID#: 34aa 491 OG(oy 00o `� Lot No.
Site Plan Name: /, �1 ) f Block No.
Project Name: 0 �
0hh J I C�,�t�)L,I`1 Ell I t?S *-S:QL14e�6 d11FC9 167l/0'5;'
DETAILED DESCRIPTION OF WORK:
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. Ft of Construction�:/ Sq. Ft. of First Floor:
Cost of Construction: $ /CG . C� Utilities: —Sewer _Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name:
Address: IZCQICt�(G Company:
City: -{ 'Sf LL+C(C— State: L Address: ��
Zip Code: -3 4 C9: o2? Fax: City: t 7' u F I 1= State: L
Phone No. 17o-? 3 35- :i.3b6 Zip Code: 34 a Fax:
E-Mail: I rA Lee ('-, C&Ts Al--Q2+h c Ed hone No `-7 702 - 3 3 5 - 70 7 1
Fill in fee simple Title Holder on next page(if differefi E-Mail f!.UU 1 Ef5 — 0 6 W dt)�
from the Owner listed above) State or County License 6119
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.
Jun 152021 12:17pm LOU IE'S AIR CONDITIONING 772-429-5267 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City. State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner i ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S 1_
L-uC)
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 202QI by
L L L, i S tts)I ,._d 4—
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally-Known A OR Produced Identification
Type of Identification Type of,f'dentificatiop,
Produced Produced
/� pNYu�tiiw
'/.�r!:..��� Denise Lopez
I a Comm #HH111794
(Signature of Notary Public State of Florida) ignatk'�W of N' ary blic i �:May 26,2025
� ;emu• ,• BQn*TW Aaron Notary
Commission No. (Seal) Commission No. ,I f ea )
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 6120