HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/9/2021 Permit Number:
CL, L L L-
C(2-1�iLQ7�L _
1 L `' L a c t- 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: Judi -Lyn DeSiderio
PROPOSED IMPROVEMENT LOCATION:
Aririrac,• 3217 Perigrine Falcon Dr
Property Tax ID #: 3424.800.0034.000.4
Site Plan Name:
Project Name: Desiderio-3217
DETAILED DESCRIPTION OF WORK:
Install new 4 ton 14 seer 10kw 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
X
Lot No. 3
Block No. 67
Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor: _
Utilities: —Sewer Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jodi -Lynn Desiderio
Name: LUKE WALKER
Address:.3217 Perigrine Falcon Drive
Company: TREASURE COAST AIR
City: PSL State: _
Zip Code: 32952 Fax:
Phone No. 7723405505
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail TCAC1 990@ATT. NET/TCACSVC@ATT. NET
State or County License CAC058476
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is S7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applica
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
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 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 recording4Qur Notice of Commencement.
Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swo7fo (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 4- day of V 202g/by
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Name of person making statement.
Personally Known (// OR Produced Identification
Type of Identification
Produced
(Signatur of Notary P bl`j1WI)#1 Florida )
Commission No. �\�\\\\OFAEL RISCO �i*al)
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Signature of Coon tm6orAkense H
STATE OF FLORIDA
COUNTY OF _�iZj/aJ
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 4 day of T L `l 20*y
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Mbtary P . A R6, a )
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Rev. 5/6/20