HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8.18..21 Permit Number:
LUCLL-
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`. L c I �' c F, tz --- 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
PERMIT APPLICATION FOR: Sandy Prettyman
PROPOSED IMPROVEMENT LOCATION:10725 S Ocean Drive #399 Jensen Beach 34957
Address: 0725 S Ocean Drive #399 Jensen Beach 34957
Property Tax ID #: 4511.502.0130.000.2 Lot No.
Site Plan Name: Prettyman-10725 Block No.
Project Name: Prettyman-10725
DETAILED DESCRIPTION OF WORK:
Install 2ton 16 seer 5kw Rheem system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed 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: Sq. Ft. of First Floor:
Cost of Construction: $ 5989.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sandy Prettyman
Name: LUKE WALKER
Address: 10725 S Ocean Drive 399
Company: TREASURE COAST AIR
City: Jensen Beach State:
Address: 1055 S.W. MARTIN DOWNS BLVD
_
Zip Code: 34957 Fax:
Phone No. 302.245.0601
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
E-Mail:
Phone No 772-692-1701
Fill in fee simple Title Holder on next page ( if different
E-Mail TCAC1 990@ATT. NET/TCACSVC@ATT. NET
from the Owner listed above)
State or County License CAC058476
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: x Not Applicable
Name:
MORTGAGE COMPANY: x
_ Not Applicable
Address:
Name:
JAddress:
City:
State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x
_Not Applicable
Address:
Name:
City:
Address:
----- Phone:
City-
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noywork or installation has commenced prior to the issuance of a permit.
which is inconflictwith any applicable representation
e Owgranting sssociati Ast will sociation aby bylaws or andpermit
covenantss that maybuild
rest ictborp structure
h bit 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lep ef-e�n attorney before commencing work or recording (our Notice of Commencement.
Signatur 'of Owner/ Lessee ntrac �s Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swor,�o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this / 8 day of AJ 6u5 T 20XIby
Name of person making statement.
Personally Known Type of Identification OR Produced Identification
Produced -7�>
(Signatur f Notary P ic- State of Florida )
Commission No.
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REVIEWS FRONT = ZONIN(&.� SUPS
COUNTER Re-VIEWoous RF4
DATE
RECEIVED
DATE
COMPLETED
Signature of Con
STATE OF FLORIDA
COUNTY OF /� ,,9/j
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this /J day of 6v T 202, 1 by
Name of person making statement.
Personally Known `- OR Produced Identification
Type of Identification
Produced
of Notary
Commission No.
R I PLANS I VEGETATION
REVIEW REVIEW
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