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Home My WebLink AboutBuilding PermitAll APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IS y, Permit Number: - ° 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: PROPOSED IMPROVEMENT LOCATION: Address: 31 "k-e- V i S 4--A "iv r7 Property Tax ID#: 34a2 — 56o— (:)q ?- — DOD^Lo Lot No. Site Plan Name: Project Name: 1-17^t111 Qe < ;; DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3a dQ • "O Block No. �A' \c_ wph ';�;-I-u (Affidavit required) _ Generator Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ")vf Name: C.(;``�t(.�•(wA qa-4 Address: �P ust ULo{* ` l- Company: i' "A C n)e1er:s-V p$(J &f-s City: W y Ck ofk State: NY ZipCode:Fax: PhoneNo. a�1-1�18��JZCf Address: 6AI I Hzi t "- �` 'a-nr4— City: f2� S x e State: jygSd Fax:' f��'yl'1�163) Zip Cod? Phone No E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail �`)=�eh✓Uwc ��ar} • �^� State or County License Cis CO 50 fi � If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. _- is � ..; 5 .. ... ..�..-6•� '-i, ,A:'r:.��f. is i'1.-. •te4. r Y' �. .��`�' iA �f •�� SUPPLCMsEN7ALCII AT*F' .z.' y�1i is .ilj�e. R t >if. `�a S� "p •,.' ,�ie{. S i;LIXr t 1- .:.J-.� 1F. :jf.� ry !;l -'4�:. L'�;1=� '� ,•F �y,} W J :�1. I�:Yd x .'�i:f'c:! •�1 ,b� �� t.'.�i; tt` 5:.�.�d�?'1,I•If 4�`�T-*�Li.t+�f�. �'a.,�,� 1K v5`-i r"YZ y... .. ,, }U`CTrO -. Tt. �:;._.'F'is'il�3''y.`.}+1F*�7F_::ilf'w.it .yf�N�4;tAT�O.... SRE-�..: ....Z .4: ifG+ -5:'tE:'��i-•.}�.L.:�i�',ry�r,4,~ti:CYiS!.I _`i'.ls'�tiF.`_'�•WF+�.♦ ..F- •:`., DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: 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 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 exemp, from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, <igns, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record 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 recording your Notice of Commencement. Vr:4 Signature of Owner/ Lessee/Contractor as Agent for•Owwer STATE OF FLORIDA COUNTY OF ' _ 5, W 4-ti- (C_4� Sworn to (or affirme ) and subscribed before me of. f'P'hysical Presence or this lNk`-day of 2Q21 by Name of person making statement. Personally Known OR Produced Identification Tyffe�f Identification Produced -(Signature of Notary Public- State of Florida ) Commission No. -"A )VO0101 (Seal) REVIEWS I FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW Online Notarization <<" JESSICA GROVER Notary Public -State of Florid •= Commission # HH 119064 My Commission Expires April 19, 2025 SUPERVISOR I PLANS I VEGETATION I SEATURTREV EWLE I MREV ROVE REVIEW REVIEW REVIEW iv u %114 V - license Numbers Fort Pierce Service Center CACDI CAC0e7a00 6811 Heritage Dr • Port Saint Lucie. FL 34952 • Phone: (888 237-7070 CFCOosel 9 CFC032576 �tMi�co Nationwide ES0000336 EQUIPMENT PROPOSAL E-MAIL: ir, ,. \r _ \ .- / c' a.-r. t\ I PHONE #,�r.i_.�LlR -t,_-0 I NOTES OPTION t OPTION 2 MANUFACTURER. AN MODEL N ql .- i AhyrA CU MODEL: 14 y o I MOTOR COOLING STAGES SEER i TONS HEATER SUBTOTAL: S � OTHER DISCOUNTS: .- Vto TOTAL INVESThIENT CC Installation shall include ❑ New reinforced equipment pad ❑ C/U Breaker Brand Size —, ❑ Reconnect to existing lines ❑ A/H Breaker Brand _ Size _ ❑ Permit included ❑ Hurricane Brackets or Strapping ❑ Install new thermostat ❑ Corrugated pipe _ ft. ❑ Install navy H-slat ❑ Meet all code requirements ❑ Vertical ❑ Horizontal ❑ complete system start up ❑ Filter Rack ❑ Stand ❑ _ year pans MFG warranty ❑ 2nd Pan ❑ Vert ❑ Hom ❑ _ year labor BFS warranty ❑ Hanging ❑ Attic ❑ Shelf ❑ _ year maintenance ❑ UV paint ❑ Crane service Additional work to be performed Installation does not include any duct work or line set unless specified on proposal. Dram cleaning or old line sets are not guaranteed. Maintenance must be performed at least once a year to system to honor pan and labor warranty. Customer responsible for any condo association approvals on changes to HVAC systems. Method of Payment Accepted: O Check O Visa O Master Card O American Express O Cash O Financing O Deposit Card number _ _ _ _ _ Exp. date Security Code Authorized Signature �Oioss Note: This proposal may be withdrawn by us if not accepted within 30 days. Billing Address - Payment in full Is due upon startup -All materials guaranteed to tie os spdolna All work is w tier mmpleled m e workmankke manner according m snndard pxdrcas. SFS will not be responsiblefre property damage when removing or rootaei yourmr conamomng system Irduding but na limited to alto rebels. staircases noon Idm wall etc. Any alteration re deeemn from above speencanon, involving one costs win be executed only body written orders and enA become an ema rban over Jne aNVe the earNle All agreements rontngem upon strikes accident, or delays beyond co control Owner to wry hire and other necessary insurance. Our worken are It =,al o by Workmen Compensation Insurance Acceptance of Proposal - The above prices. specifications and conditions are satisfactory and are hereby Signature accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.