HomeMy WebLinkAboutRovira Permit App._20211012_162842All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
S r, L U CCC'
1= L c c c A - `— Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Rovira-10102
PROPOSED IMPROVEMENT LOCATION:
Address. 10102 S Ocean Dr unit 109 Jensen Beach 34957
Property Tax ID #: 4502-802-0007-000-4
Site Plan Name:
Project Name: Rovira-10102
DETAILED DESCRIPTION OF WORK:
Install new 2 ton 15 seer 5kw i hem a�� PYYl
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: $ 4 1 15 (-
Sq. Ft. of First Floor:
X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Margarita Rovira
Name: LUKE WALKER
Address: 10102 S. Ocean Drive #109
Company: TREASURE COAST AIR
City: Jensen Beach F State: _
Zip Code: 34957 Fax:
Phone No. 305-469-8390
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)
E-Mail TCAC1990@ATT.NET/TCACSVC@ATT.NET
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
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
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
with lend r or an attorney before commencing work or recording our Notice of Commencement.
Sign at e of Ow r/ ssee Contractor as Agent for Owner
Signature of�Cofnt5racti nse Holder
STATE OF FLORIDA
STATE O
COUNTY OF_ 1-7AM T%cJ
COUNTY OF_
Swor o (or affirmed) and subscribed before me of
Swor (or affirmed) and subscribed before me of
•� Physical Presence or Online Notarization
Physical Presence or Online Notarization
this LZ day of OG T 20W&y
this iZ day of 4GT 202i9%y
y�� /lG,��/1
_ Z,/4r e C/A Fft
Name of person making7sta,ent.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced i
Produced
� 11111111N
(Signatu of Nota Public 61< ii
��'%�
(Signature of Notary Public\\ t�i I
1�
�� •• �M�ssioy
Commission No. �� OP�aE 13.2�{)
9 ram.
......•
��` �ssioro -' O
Commission No. o��E 13. tota41 l)
REVIEWS
FROf$T°,� d
coUN,�g�s '
$ON
�`°
i;l{PERVISOR
�EVIEW
PLANS
VEGETATI+ o'E�
•,
iiE;:
NGROVE
DATE
�ii,�
,
"
REVIEW
REVIEW y
••'s���IIpM�o;•EVIEW
RECEIVED
cJc.sTATEa�t�.•
lJJJ11eCJQ.
%,
A� • ....•
S;41E(J
DATE
,
COMPLETED
Rev.