HomeMy WebLinkAbout2515 Kerr AC Application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/30121 Permit Number:
910 U6ui�
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: AC Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 2515 KERR ST, FORT PIERCE
Property Tax ID #: 2419-601-0019-000-3
Site Plan Name: _
Project Name: AC
DETAILED DESCRIPTION OF WORK:
Remove old AC unit and replace with new
3 ., Sal Sys f� N, S K �J %/ease✓
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
(Affidavit required)
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
✓lMechanical _Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 1,251
Cost of Construction: $ 4200.00
OWNER/LESSEE:
Name Dorothy Barron
Address: 5102 Avienda AVE,
_ Sprinklers
_ Generator _ Roof
Sq. Ft. of First Floor: 1,251
Utilities: —Sewer _Septic Building Height:
City: Fort Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-267-5550 E-
mail: _
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Pitch
CONTRACTOR:
Name: Condane Rolle
Company: Zero Degrees Cooling and Heating LLC
Address: 1945 SW South Macedo Blvd
City: Port St Lucie State: F2
Zip Code: 34984 Fax:
Phone No 561-714-4125
E-Mail g•freeman74@icioud.com
State or County License CAC1820383
If value of construction is 2500 or more, a RECORDED Notice at Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: EL Not Applicable
Name:
MORTGAGE COMPANY: Q Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: ✓[—Not Applicable
Name:
Address:
City:
Address:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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, wails, 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 your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of ✓� Physical Presence or F1 Online Notarization
this 301:1-day of August 20 21 by
Name of person making statement.
Perso Ily Known 0 OR Produced Identification ❑
Typ of Ide,ttifcation Pr
ducecl
tvaic
T'1&
(Signature of Notary Public- State of Florida)
Notary Public State of Florida
Commission No. (Seal) EricHarreB
My Commission GG 9t32817
ElmowExpires OM1512023
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Rev 5/ZO/21