HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITAPPLICATION FOR: AC change out HPWC
PROPOSED IMPROVEMENT LOCATION.
Address:
9550 S Ocean Dr #802 Jensen Beach FI 34957
' ••- � � 1 •1 11•:�IIII�:
Site Plan Name:
Project Name
Bart Howe
DETAILED DESCRIPTION OF WORK:
AC change out Bosch Heat Pump Water Cool Pkg Unit 2.5 ton 15 seer
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
6081
_Gas Piping
Sprinklers
_Shutters
_Generator
_Windows/Doors
Sq. Ft. of First Floor:
Roof
Lot N
Block No.
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWN ER/LESSEE:
CONTRACTOR:
Name Bartlett Howe
Name: Paul Cloutier
Address: 9550 S Ocean Dr #802
Company: FPL Home Services
city: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 631-617-8801
Address: 7830 Byron Dr #7
City: Riviera Beach State: FL
Zip Code: 34404 Fax:
Phone No 561-946-6835
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 'Iennifer.beams(c�fplhs.com
State or County License CAC1820030
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.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION`
DESIGNER/ENGINEER:
Name:
_ Not
Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip:
State:
Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE
Name:
HOLDER: _ Not
Applicable
BONDING COMPANY: Not Applicable
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 paying twice for
.._improvements to your property. A Notice of Commencement must be recorded in the public records of St.
LLi County�nd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with ender br, h\dttorney before commencing work or recording your Notice of Commencement.
r=e of Own
STATE OF FLORIDA
COUNTY OF St Lucie
ctor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization
this 29 day of July , 20� by
Paul Cloutier
Name of person making statement.
Ily Known X OR Produced Identification
Identification Produ ed
Comm
REVIEWS
of Notary
N o.
DATE
RECEIVED
DATE
COMPLETED
is -State of Florida )
(Seal)
��v "� Notary Public State of F
Jennifer 1/ gec7ma
� orir�Expires 07/23/2024 023214
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