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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION. TO.BEACCEPTED�j Date: 8/31/2021 ;Permit Number Building Permit_ Application, Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial. _. -Residential X - 'PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: s 332 Ahley St Fort Pierce, FL 34982 Address: Property Tax ID #: 3403-802-0067-000-5 Lot No. Site Plan Name: Block No.'-' Project Name: DETAILED DESCRIPTION OF WORK: Replacement of 13 ton splitsystem with 7, kW heat; like, for like; 14. SEER 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 Pitch Total Sq. Ft of Construction: Sq., Ft. of First Floor: Cost of Construction: $ 3886 Utilities: Sewer =Septic' Building Height: OWNER/LESSEE: CONTRACTOR: Name Edith Johnson Name: James J Wauters Address: 332 Ashley St Compa-ny:Just _Chillin'. HVAC`LLC, _ City: Fort Pierce, FL State: Address: 5422 NW Cromey St _ Zip Code: 34982 Fax: City: Port St. Lucie State: FL Phone No. 772-672-4749 . Zip Code:--34986 Fax: E-Mail:. Phone No 772-940-4373 Fill in fee simple Title'Holder on next page (if different' E-Ma'iljustchillinair@hotmail.coff from the Owner listed above) State or County License CAC1819351 i 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 Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: 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 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, 1 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sig ture of Owr;(er/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA (� �''(� STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before'me The forgoing instrument was acknowledged before me this J32 day of 20n�_ by ,: this _ day of 20_ by ` 11J Name of person making statement. Name of person making statement. Personally Known OR Produced Identification"' Personally Known OR Produced Identification Type of Identification v ' Z P Type of Identification Produced Produced (Sig _ Qtry Pit f Florida) (Signature of Notary Public- State of Florida ) rate of FEN .V,qV Co is �0mm;.s °�'da-lvorNVSea Commission No. (Seal) �„ �� # a,Y p ©� o SionG 27 p0 bli° .- .2022 es REVIEWS FRONT x SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE, COUNTER REVIE REVIEW. REVIEW REVIEW-, REVIEW REVIEW DATE RECEIVED ' DATE COMPLETED Rev. 2/7/19