HomeMy WebLinkAboutAvriett permitAll APPLICABLE INFO BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
LUFC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR:A/C Mechanical changeOUt
_ WTION
nHRrP«• 9650 S Ocean Dr Apt 1201 Jensen Beach, FI 34957
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
�_Wlechanical — 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: $ 5345.00 Utilities: — Sewer _ Septic Building Height:
OWNER/L"t i8 E
CONTRACTOR:
Name Casey Avriett
Name:Cezar Perez
Address:4650 S Ocean Dr #1201
Company: Tru Air Cooling & Heating LLC
City: Jense Beach State: _
Zip Code: 34957 Fax:
Phone No.
Address:8430 Andrews Ave
City: Fort Pierce State: FI
Zip Code: 34945 Fax:
Phone No7723597672
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailTruaircooling@gmail.com
State or County License CAC 1820263
If value of construction is 2500 or more, a KLLUKutu NOXICe or wrruna1wci11c11L IZ —4-1
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:_
Address:
City: _
Zip:
Phan
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicatea.
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
impr ents to your property. A Notice of Commencement must be recorded in the public records of St.
Lu Co my and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
V .. f C ++nr .e., k-fn rnmmonrinv Wnrk nr rPrari'ding vour Notice of Commencement.
Signa re er/ Lessee/Contractor as Agent for Owner
Si na a ontra License Holder
ATE OF ORIDA (� I
S FL �J,�
COUNTY I—
COUNTY OFORIQA
SNFn to (or affirmed) and subscribed before me of
Notarization
S to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online
this day of 2020 by
this ay of 2020 by
—9
bi l�l.0 t
Name of person making statement.
Name of person making statement.
Personally Known X OR
Ily Known " OR Produced Identification
«'"•`. "'• PATRICIA.HILL
Type of I ntification :: ' `�IS
Type (dent' ication
Yp
Produc .i ;.: MY COMMISSION#GG 9
16ftid ed _
EXPIRES: April 7, 20
`�6F ,
Bonded Thru Notary Public UM
ers
(Signature of
b#i6p4KVIrqn9 e7oN nAu Papuos o;r
(Si a ' ` Notary PW 0 Flor' a
` # GG 97
; ao�i ;
_ :' ; MY COMMISSION
bZOZ 'L IPdV S3ZIIdX3 �S ° r'
Commission ) :±?
Co EXPIRES: April 7, 2024 r S I )
@
Underwrit i
9 WWOO
�FOFF��"' Bonded ru ry U
IIIH'NF/IOWIVd
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/2U