HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/25/2021 Permit Number:
LLLLL ��,
L: L c L L `, `i -"- Building Permit Application
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: SeSyle CalriUS
PROPOSED IMPROVEMENT LOCATION:
Address: 209 Olive Ave
Property Tax ID #: 3419-510-0271-000-1
Site Plan Name: Clarius-209
Project Name:
DETAILED DESCRIPTION OF WORK:
Install new 3.5 ton 14 seer 7kw Rheem complete system
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
Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ i I 19
X
Lot No. 19
Block No. 40
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sesyle Clarius
Name: LUKE WALKER
Address: 209 Olive Ave
Company: TREASURE COAST AIR
City: Port St. Lucie State: _
Zip Code: 34952 Fax:
Phone No. 7723590077
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail: sesyleclarius70
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2snn nr mnro o DCP/l Dncr% Ri a:__
E-Mail TCAC1 990@ATT. NET/TCACSVC@ATT. NET
State or County License CAC058476
- --- -- ... ..........1n1--M a Icyuirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:_
Address:
City: —
Zip:
State:
Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
State:
Not Applicable
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 len r or an attorney before commencing work or recordin Notice of Commencement.
Signatur Ow e Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �� �j'4_",
i
Sworn'fo (or affirmed) and subscribed before me of
Physical Presence or T Online Notarization
this 2day of �U,� 202,4 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced ,7
(Signature
Commission No.
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Signature f or/L ense Holder
STATE OF FLORIDA
COUNTY OF /vli9 /? j/j(J
Sword to (or affirmed) and subscribed before me of
j' Physical Presence or Online Notarization
this day of 20 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature
Commission No.
SUPERVISOR I PLANS I VEGEg
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