HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/19/2021 Permit Number: QsV
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Building Permit Applicatio
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Planning and Development Services
Building and Code Regulation Division 03AI303H
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 .Fax:(772)462-1578 Commercial Residential X
PERMITTYPE: CkL
PROPOSED IMPROVEMENT LOCATION:
Address: 1520 Mallard Ct Fort'Pierce, FL 34982
Property Tax ID#: 3409-503-0014-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 5 ton split system with 10 kW electric heat,`like for like; 14 SEER
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: .
_Mechanical _Gas Tank _Gas Piping• _Shutters _Windows/Doors
_Electric -Plumbing _Sprinklers _Generator _Roof . Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5338 Utilities: —Sewer' _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James Vaughn Name:James J Wauters
Address:1520 Mallard Ct Company:Just Chillin' HVAC LLC
City: Fort Pierce, FL State:_ ;Address:5422 NW Cromey St
Zip Code. 34982: Fax: City: .Pgrt_Sf.'Lbcie State:FL
Phone No.772-528-8786 Zip Code:-34986 Fax:
E-Mail: Phone No 772-940-4373
Fill in fee simple Title Holder on next page(if different. E-Mail justchillinair@hotmail.com
from the Owner listed above) State or County License CAC1819351
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S' nature of 0 er/Lessee/Contractor as Agent for Owner Si ature of C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'S�. �-vc�e COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this ��day of ' J5Q\ 2d&A by this \11 day of 20aA by
J Q dV\'Z S W v:�'QL.
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced \. Produced rC L fl L.
(Signature of Notary P lic-State of Florida) (Signature of Notary blic-State of Florid
Commission No. 'tt �O � �NNPGivSta�e�Fiocida Commission N �35�fANNA tat.GIVE da
�gv'''ve'4'•. NotatY pub\icN p86a5Z02g ion a Nota �lic State i
issio , at 2 ,: Commission#Nirps�an028,2025
ionai NOta °F F`? ou h National Nota Assn
REVIEWS FRONT '�: ° 11 hto� OR PLANS VE ETATI ed h 'TAN GROVE
COUNTE "'RE REVIEW. REVIEW R REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2/7/19