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Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l Permit Number: (�(�`�1 �/ 1 ✓8 ,,II RECEIVED IL L. ft� JUL 15 2021 Building Permit Application St.Lucie County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential 2300 Virginla Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: IONWf:i.y�.r A. neW. •J/' !.• —� r. :4R i. i Address: 1 LCA)L-P, if►` Property Tax ID#: �>-#alxg Lot No. Site Plan Name: Block No. Project Name: 'i ce 1 U jt' Ci >Yi` _g M4 W a MIN tr,7c � ' rt�.✓�la o 3� Csr.- - -• lec ^iGi New Electrical Meter Second Electrical Meter (Affidavit required) Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond _Electric L_,"Plumbing —Sprinklers —Generator —Roof Pitch Total Sq. Ft of Construction: Sq, Ft.of First Floor: Cost of Construction:$ - 00 Utilities: Sewer _Septic Building Height: Name bQC GYL�e'o_ Name vt Address: 1�� v��e-s'� �ond f� Company 9./ � N (S City:Nzwfaj-k4 State: hfT Address: 64V) Zip Code: 6-)rq 2l Fax: City: (/Wl—f Lllt_�a State:, Phone No. 901�~ �11��''7a?fi Zip Code: y�`i`7� Fax: 2 L(bi- E-Mail• - Phone No q to Fill in fee simple Title Holder on next page(if different E-Mail[1) l cc (V, from the Owner listed above) State or County License C rr Ig SQ y!; If value of Construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of NAVC is$7,500 or more,a RECORDED Notice of Commencement is required. i' VI SltPf�� NT t 'EC 1 L RI:CTEt,ZN CI N l;AW'll T-RIVIX—LION: DESIGNER/ENGINEER: _Not Applicable .:MORTGAGE COMPANY: _Not Applicable Name: Name: Address;�m Address: - City: -- --- --- State: City: State• Zip: --- - Phone x! Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name., Address; Address- _ City: - — City., Zip: Phone: Zip: Phone: R OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtiln a permit to do the work and Installation as indicated. I Certify that no work or installation has commenced.prior to the Issuance of a permit. St.Lucle Courtit�t make$no representation that Is granting a permit will authorize the permit holder to build the subject structure which,sin conflict with any applicable Home flwne�9 Assat ation rules,bylaws r an covenants that may ragrict or ghibit such structure.Please consult with your Home Owners A';sociation and review your good Tor any restrictions whit may app y. Inconsideration of the granting of this requested permit,I do hereby agree that I will,In all respects,psrforrn the work in accordance with the approved plans,the Florida Hi,liding Codes and St.Lucle County Amendments. The following building permit applications are exen'ot from undergoing a full Concurrency review:room additions, accessory structures,swimming pools,fences,wallR .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 Notiee of Commencement must be recorded in the public records of St. Lucie County and posted on the Job site'before the first inspection•if you intend to obtain financing,consult with lender or an attornev before comniencing work or recording your Notice of Commencement. Signature of Owner/Lessee/don ctor as Agent fDr owner STATE OF FLORIDA COUNTY OF tut:t` Co,r� Swar V(or affirmed)and subscribed before me of lPhysical Presence or Online Notarization this l�!day of_ A 20.a1 by Name of person making statement. Personally Known OR Produced Identlflc@tion.... T Identification Produced ,r (5 nature of Notary Publics State of Florida j +1 0 b (seal) 1 ,t"�Y"", JESSICA GROVER Commission Na- '=Notary Public-State of Florida �' •5 Commisaian#HM t29064 a My Commission �xplres April 19, 2025 REVIEWS FRONT ZONING SP.PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW rAFVIFW REVIEW REVIEW REVIEW REVIEW DATE R15CEIVED RAT COMPLETED ev License Nu-Oafs; ,,6,,•. .Ja .�; Fort Pierce Service Center CAC057400 6811 Heritage Dr r Port Saint Lucie, FL 34882•Phone: (888)237-7070 CPCoasea9 CFCQ72576 l EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO CONTRACT#SQJ CM"-1 i SALESPERSON• rri GC DATE y ' i a ..fr_ OITY STATE AND ZIP CODS a E-MAIL, G ) C PHONE! r }I NOTES OPTION 1 OPTION 2 Installation shall Include: MANUFACTUftrR- 0 New reinforced equipment pad 1:7 cfU Breaker Brand Size ❑ Reconnect to existing lines ❑ AM breaker Brand—Size— A h 0 Permit included ❑ Hurricane Brackets or Strapping T r �., ❑ Install new thermostat ❑ Corrugated pipe ft, 3G ❑ Install now H-stat ❑ Meet all code requirements L, ❑ Verilcal Q Horizontal ❑ Complete system start up cOOt tN 3 STAGES 0 Filter Rack ❑ Stand ❑ year parts MFG warranty ❑ 2nd Pan 4 Vert ❑ Horz ❑ year labor BFS warranty SEER ❑ Hanging ❑ Attic ❑ Shelf ❑ year maintenance TONS ❑ UV paint ❑ Crane service HEATER Additional work to be performed SUBTOTAL. OTHER DISCOUNTS: Installation does not include any duct work or line set unless specified on proposal. TOTAL INVCSTMENT { Drain cleaning or old line seta are not guaranteed.Maintenance roust be performed t J at least once a year to system to honor pan and labor warranty. Customer rsaponslble for any condo association approvals on changes to 14VAC systems. Method of Payment Accepted: 0 Check 0 Vise D Master Card O American Express 0 Casn 0 Financing O Deposit Card number Exp,date security Code Authorized$Igriatura _ _ ,„� Nate:This proposal may be withdrawn by us if not accepted within 30 days, Billing Address — Paymont in roll 16 due upon startup-ill malerial le gaaraalead to be ac specified.M work h to be compf6ted N e vrolkmaNikO moans acrmrdrng to standard palaces.SF6 trill not ba rBcppriOble for property damage when remooinp or roplacir gV3'.9 cgndllhin1np nyalem Including GUI nol I;nult:d to attic accesm staircases.goals,trim.eau,OT,Any atlarallan or deviation from above specffic860na invotwng axto wets will be executed onfy upon written orders,and wls become in exlfa chaff Jvar 9nd BCevt•the BFlimdfe AIIA9feements contulgerlt upon ah:kea accfdetlls or daiays wyontl cur conical owner to carry fire,and whir 710c4ssary insurance.Our wetkefs af6 141:y covered by warkmons cbmpensailan insurance. Acceptance of Proposal •The above prices,apecificaliona and conditions are satisraotory and are hereby Signature __ accepted,You are authorized to do Ule work as specified.Payment will be made as outlined above. Date of Acceptance:_, Signature All sales are final with no adjustments or refunds,i 0yf MFG Pans Warranty if registered by customer only applies to original purchaser.