HomeMy WebLinkAboutBUUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/6/21
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Permit Number:
Commercial Residential X
Address: 303 se Camino ct
Property Tax ID 3419 515 0215-000-6 _ _._... __...
Site Plan Name:
Project Name: michael roznowski
LIKE FOR LIKE A/C CHANGE OUT 3 ton, 14 seer, 10 kw
New Electrical Meter Second Electrical Meter.
Additional workto be performed under this permit—checkall that apply:
xMechanical _Gas Tank
Electric _Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5621.00
_,Gas Piping
_Sprinklers
Shutters
_
Generator
Lot No.
Block No.
Windows/Doors _Pond
Roof _Pitch
Sq, Ft, of First Floor:
Utilities: _Sewer Septic BuildingHeight:
Address: 18615 maple dr
city: alpena State: FII
Zip Code: 49707 Fax:
Phone No. 898 464-24A
Fill
in fee simple Title Holder on next page (if different
from the owner listed above)
zip
Address:
Company: Sea Coast A/C and Sheet Metal Inc.
3108 Industrial 31st Street
city: Ft Pierce State: FL
Code: 3494 Fax: 772-448-4416
Phone No 772-466-2400
Mail infoaseacoastair com
E-
State or County License CMC035421
encement Is requ
If value of construction is 2500 or more, a RECORDED Notice of Comm
If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required.
zip
Address:
Company: Sea Coast A/C and Sheet Metal Inc.
3108 Industrial 31st Street
city: Ft Pierce State: FL
Code: 3494 Fax: 772-448-4416
Phone No 772-466-2400
Mail infoaseacoastair com
E-
State or County License CMC035421
encement Is requ
If value of construction is 2500 or more, a RECORDED Notice of Comm
If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENcitNttrc: _����„rN„„�.,^.
Name:
Address:
City: State:
Zip:--- Phone ---_----..._.
FEE SIMPLE TITLEHOLDER: ^ Not Applicable
Name:
Address:
City:
Zip; Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
Not Applicable
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 Counttflflyy makes noyrepresentation that is granting a permitwill authorize the permit holder to build the subject structure
structurenPleaseconsult wltli your Home Owners AssoGatlontiandrrevlew gourdeed for any restrlCtion which rmay applyhibit such
-In-consideration ofdhe-granting-of this requested.pennit, I do hereby agree that LwiU, In all_respects, perform.the wort(,,,, ...... .
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 consult
Lucle County and posted on the fobsite before the first Inspection. If you intend to obtain financing, consult
with lender or an attorney before commencin work or record!n our No ice of Cgommencement.
as Agent for Owner
STATE OF FLO,�1pPt ��
COUNTY OF „��I...
S rn to (or affirmed) and subscribed before me of
PhysicalPresenceor_OnIJn20 otzation
this E3, day of ijgga 2( by
Orf 5 1 • r I (i i
Name of person m king statement.
Personally Known X. OR Produced identification_,
Type of Identification
commission
Signature
STATE OF FLOf;4gA
COUNTY OFF
S onto (or affirmed) and subscribed before the of
Physical Presence or OnlinZ�tabrization
this_ day of�A.„U_G_UST y
tit`�l�f�hr �t�— Avg e,
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
of Notary Public- Statelof Florida
:•s
� ��3 LANS VEGETATION
REVIEWS FRON s, , • I�PIRE :��
,..,.,,- ,\ii991V1AdThroNo. Pi erstllro _VIEW REVIEW
Eligible for Federal Tax Credit
i7i&Qg6f
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02021 Air -Conditioning, Heating, and Refrigeration InstitutekIIIIIIIIII