HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
7/1 /2021 �j` V V v
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X.
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 6502 Salerno Rd Fort Pierce, FL 34951
Property Tax ID #: 1301-612-0013-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 4 ton split system with 10 kW electric heat; like for like; 16 SEER
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank ' _ Gas Piping _ Shutter's. Windows/Doors
Electric _ Plumbing _ Sprinklers —Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5000 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Rebekah Harrison
-Name: James J Wauters
Address: 6502 Salerno Rd ".'.
Company: Just Chillih' HVAC LLC
City: Fort Pierce, FL State: _
--Address: 5422 NW Cromey St
Zip Code: 34951 Fax:
City: Port St. Lucie State: FL
Phone No. 772-332-9140
Zip -Code: 34986 Fax:
E-Mail:
Phone No 772-940-4373
.Fill in fee simple Title Holder on next page (if different
E-Mail justchillinair@hotmail.com
from the Owner listed above)
State or County License CAC1819351
If value of construction is $2500 or more, a RECORDED Notice of Commencement. is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DEShGNER/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:
Si eture of Ow��ss Leee/Contractor as Agent for Owner
S' nature o Con ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before
me
The fo going instrument was acknowledged before me
this I_ day of � 204 by
this day of 20� by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced �
(Sign ure of Notary Public- Stat f FI rida){Signature
of Nota