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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Ig 2�Z1 Permit Number: c�JC�o L�lr`�...��5 �.- I I r bit �L .�- �.l I ° • Building Permit Application iI 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 PERMITAPPLICATION FOR: �� 1 PROPOSED IMPROVEMENT LOCATION: I Address: I (.��0 y� p i e r,r�zM� Property Tax ID#: 130b 'jY10 035$ I Lot No. > I Site Plan Name: Block No. �S Project Name: DETAILED DESCRIPTION OF WORK Lxgci- ►Ze p �ti - o,� 3 � ,� 1`i .S-�er A c w� �x-w i-1«.,}� i - iI New Electrical Meter Second ElectriCal'Meter (Affidavit required) (l CONSTRUCTION INFORMATIO r Additional work tobeperformed under this permit-check all that apply: ! Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: r� ! _ Sq. Ft. of First Floor: Cost of Construction:$ �1�I0 ] Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR:: Name MO%Y' avi Name: -- ,, Address: 0)1,48' A ,ere-e ,c�� Company: d i r�� f�lri5-o P)81A gFf City: r� �^Fre Stater Address: brLl �c rim L vL CIgS a Zip Code: Fax: City: '�� la' State: �Z- Phone No.�-0C-Z0 Zip Code:31015 Fax:-�'-4 (o1-1631 E-Mail: - Phone No `41a -`lb)^M3 I� Fill in fee simple Title Holder on next page( if ifferent E-Mail A from the Owner listed above) State or County License C CO S l 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 No+l:e of Commencement is required. r J DESIGNER/ENGINEER: Not Applicable ~ MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: Stater City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BANDING 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 13 gilding 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. 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 our Notice of Commencement. Signature of Owner/Lessee/Contract as Agent for-Owwer STATE OF FLORIDA COUNTY OF 51 Lyt-i2. Swor f�(or affirmed) su scribed before me of, Physical Presence or Online Notarization this -day of ,20dl by Name of person making statement. i, Personally Known OR Produced identificatidn T e f Identificat�on Produced_ nature of Notary Public-State of Florida) Commission No. �-1 jjejObV (Seal) JESSICA GROVER r Notary Public-State of Florida • �� Commission#HH 119064 �= My Commission Expires April 19,2026 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/21 �owq License Numbers: Fort Pierce Service Center CAC 56774 a 400 6811 Heritage Dr • Port Saint Lucie, FL 34952 • Phone: (888) 237-7070 CFC056867 CFC032576 E50000336 S�4 \ Service Centers Nationwide EQUIPMENT PROPOSAL PROPOSAL SUBMITTED TO IWOPAg4-) / 1,,i7•r_V. ONTRACT# -5-002 -7—j 1 /;, I SALESPERSON DATE'7-3-6 STREET 66 u A/ CITY, STATE AND ZIP CODE E-MAIL: PHONE#7-72 _ (.I I _ OgbO NOTES OPTION 1 OPTION 2 Installation shall include: V,buV p- RAKk MANUFACTURER: ,05aw reinforced equipment pad ❑ C/U Breaker Brand Size_ AH MODEL: j� econnect to existing lines ❑ A/H Breaker Brand_,J0 Size Permit included ❑ Hurricane Brackets or Strapping CU MODEL: stall new thermostat ❑ Corrugated pipe ft. MOTOR ❑ Install new H-stat ❑ Meet all code requirements ❑- Vertical ❑ Horizontal ❑ -Com lete system-startup COOLING STAGES �a Cx9 ❑ Filter Rack ❑ Stand ❑ /[7_year parts MFG warranty SEER ❑ 2nd Pan ❑ Vert ❑ Horz ❑ / year labor BFS warranty L C ❑ Hanging ❑ Attic ❑ Shelf ❑ year maintenance TONS ❑ UV paint ❑ Crane service HEATER Le �G ! Additional work to be performed SUBTOTAL: 1425- 00 OTHER DISCOUNTS: _ —00 00 - Installation does not include any duct work or line set unless specified on proposal. TOTAL INVESTMENT: '✓,�! y ey� Q� Drain cleaning or old line sets are not guaranteed. Maintenance must be performed at least once a year to system to honor part and labor warranty. Customer responsible for any condo association approvals on changes to HVAC systems. _ Method of Payment Accepted: 1 < aG1 rWQ ` O Checkisa O Master Card O A erican Express O Cash O Financing Deposit i Card number < Exp. date a Security Code Authorized Signat 1.ae =j� Note:This proposal may be withdrawn by us if not accepl��VflifTRT30 days. Billing Address R .30 Payment in full is due upon startup—All material is guarAteed to be as specified.All work is to be completed in a workmanlike manner according to standhfd practices.BFS will not responsible for property damage when removing or replacing 76oreir conditioning system.Including but not limited to attic access,staircases,floors,trim,wall,etc.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,and other necessary insurance.Our workers are fully covered by Workmen's 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: F^ Z - `Z02 Signature All sales are final with no adjustments or refunds. 10yr MFG Parts Warranty if registered by customer only applies to original purchaser.