HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 5, 2021 Permit Number:
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�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: HVACchange out
PROPOSED IMPROVEMENT LOCATION:
Aaaress: V 14i O UUMMIN UK LU I TTZnU. JLNSLN ULACH FL 34957
Property Tax ID #: 4511-501-0146-000-4
Site Plan Name:
Project Name:
Lot No. 29
Block No. D
DETAILED DESCRIPTION OF WORK:
NC CHANGE OUT. SAME FOR SAME. ONE 3 TON 14 SEER GRANDIARE PACKAGE AIR CONDITIONING UNIT
WITH 10 KW ELECTRIC HEAT & USING OZONE FRIENDLY 410A REFRIGERANT.
TRUCTION INFORMATION:
Addit' nal 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: $ 4,500
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Diane N Sproull
Name: JUAN CRUZADO
Address: 30419 Bobrich St
Company: JENSEN BEACH AIR & HEAT LLC
City: Livonia, MI State.
Zip Code: 48152 Fax:
Phone No. 734-673-2217
Address: 2092 SE HANFORD RD
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772-334-3200
E-Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail JENSENBEACHAC@GMAIL.COM
State or County License CAC1818779
--------- ._...- ----- -• •••�•�, v ••���+.....w wuuw u, %-un iwFiLument Is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE5IGNERjENGINEER. Not Applicable MORTGAG-�E
COMPANY: Not Applicable
Name: Name:
Address: Address:
_
City: State: City: State:
Zip: Phone Zip: Phone: — _—
FEE SIMPLE TITLE HOLDER: � Not Applicable BONDING COMPANY: Applicable
�
..._.__Not
Name: Name:
Address: Address:
City:_____—
ity _ 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 Count 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 Nome Owners Association rules, bylaws
or and covenants that may restrict or prohibit such
structure. Please consult with your Nome 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 concirrrency 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 i
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signat rContractor/License older
S' re o Owner/ esse Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF �T I� I
STATE OF FLORIDA
COUNTY OF
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Name of person making statement.
Name of person making statement.
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Personally Known__Z__ OR Produced Identification ___._.___�
Personally Known OR Produced Identification I
Type of Identification
Type of IdentificationPro
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Notary Public State of Florida
Crystal Marie Cruzado
U otary c�staee or Florida f '
i rie Cruzado
Sig u o No a Public t o r�is 06/2512024 I
( rgrr e o lot,y Publi ^ Itg>� 06l25/2024
Commission No. (Seal)
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Commission No, (Seal)
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
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RECEIVED
COMPLETED I
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