HomeMy WebLinkAboutBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-27-21 Permit Number:
a I
a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential x
Address: 10680 S Ocean Dr #1109 Jensen Beach, FL 34957
Property Tax ID #: 4511-516-0116-000-1 Lot No.
Site Plan Name: ISLAND CREST CONDOMINIUM UNIT 1109 AND UNDIV SHARE IN COMMON ELEMENTS Block No.
Project Name: Brittani Kanthak, Robert McClaine
DETAILED DESCRIPTION OF WORK:
Residential AC Replacement 2.0 ton, 14 SEER AHRI#8641229
Condenser Model- National NCP424
Air Handler Model -National NCPAH-24
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
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,975
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Brittani Kanthak, Robert McClain
Name:Adam Emanuel
Address: 10680 S Ocean Dr #1109
Com pa ny: Arnold's Air Conditioning of South Florida, Inc
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.937-602-7983
Address:1413 SE Conference Cr
City: Stuart State: FL
Zip Code: 33410 Fax:
Phone N0561-515-5527
E-Mail: RBKanthak@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail adam@arnoldsairconditioning.net
State or County License CAC1 814146
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 ana instaiiation as muicateu.
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
N ATTORNEY $EFORE RECORDING YOUR NOTICE OF COMMENCEMENT." i
WITH YOUR LENDER OR A
...
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature. of Contractor/License Holder
STATE OF FLORIDASTATE
(Ic
OF FLORID
COUNTY OF � 1 AI P�t�
COUNTY OF l ij
The forgoing instrument was acknowledged before me
by
The forgoing instrument was acknowledged before me
this day of_, 20 by
thi dayof 20
A&PA 622/�/
Name of person making statement.
Name of person making statement.
Personally Known i,/ OR Produced Identification
Personally Known r/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
/01
(Signature of Notary Public- to of F ri ),
'� , bei&le M. Person
, • 1�re
(Signature of Notary Pu(�; offt elSOn
�# � Comm.#GG34897t
Commission No. = CWA)#GG348977
Commission No. = Expaejslde 26, 2023
3, •. Expires: June 26, 2023
'��-; ;.r� Bonded Thru Aaron Notary
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Rev. 2/7/19