HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L-j . I Permit Number:
S`n LctLL
1 f- c P, C c t'_ ___ 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: MegUra-9960
PROPOSED IMPROVEMENT LOCATION:9960 S. Ocean Drive #704 Jensen Beach FI 34957
Address: 9960 S Ocean Drive #704 Jensen Beach FI
Property Tax ID #: 4502.702.0029.000.7
Site Plan Name:
Project Name: Megura-9960
DETAILED DESCRIPTION OF WORK:
Install 3.5 to 13.2 EER Climate Master
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
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5400.00
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: LUKE WALKER
Address: S d
Company: TREASURE COAST AIR
City: Y1 ) State:
Zip Code:Fax:
Phone No. Z. I �-{ _4�03�' 1
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
IF —I. —4 ..a.. . -.a:...- :- _
E-Mail TCAC1 990@ATT. NET/TCACSVC@ATT. NET
State or County License CAC058476
- ---- - -- -- ---• - •-•• •- — "'-'' Y a IMULILe vi %.ummencemem: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: X Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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
WILII ICIIUCI U1 df1 dLLU[f]Uy ueiore commencing worK or recoraing your Notice Ot commencement.
Sign re of OwnjW
Aessee/Contractor as Agent for Owner Sign atur�of C ctorj icense Holder
STATE OF FLORIDA A,,
COUNTY OF / /W71,.
S��Swo to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this2-) dayof�S407 2020 by
ul<'�F- Z�i9 i�f1
Name of person making stgtement.
Personally Known V OR Produce Identification
Type of Identificati
Produced ,��
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.o�,Missionr�A .
Commission No. :>c'(��a1�3 Zo�'P�
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF
Swor o (or affirmed) and subscribed before me of
sical Presence or Online Notarization
Ph
this Zdayof '5C_j. 2020 by
Name of person making state nt.
Personally Known / OR Produced Identification
Type of Identification
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