HomeMy WebLinkAbout3708 NIMBLEWILL CT YOUNGE RESIDENCEAll APPLICABL' INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to �L �'1 Permit Number:
O 1
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:
PROPOSED IMPROVEMENT LOCATION:
Address: '34'08' tv,mbk 11 C_} .
Property TaxID#:3yaS' fib' 61yy Lot No.
Site Plan Name: Block No. y 8
Project Name: �ojn6e— IRQS't��r\L�
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electridal'lvleter (Affidavit required)
CONSTRUCTION INFORMATION o
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric Plumbing _Spr4nklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ to olo r (0� Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:CONTRACTOfj`
-
.1
Name 3 o.�
Name: I�ev�r r7o, 1MC LOU-) In
�`ri
Address:3_;UC*-
Company: e -r r&5 Ph ry 3ff
City: �J� S� L�Jci� ;_ate:
Zip Code: h al i2 Fax:
PhoneNo. 4-12'340-5231
Address:lael) -He--1i c D/i� '
City: P S � State:11k—
Zip Code: 3L165a- Fax: --)4J--q(-,It31
E-Mail:
Phone No/,73a- `IG1—I3l3
Fill in fee simple Title Holder on next page ( if c'ifferent
E-Mail_ M+eL-'N lerp Coy,.,
from the Owner listed above)
State or County License CC-4-�C- ) </ 3 0 ,Yq5'
If value of construction is 2500 or more, a RECORDESr Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Npt4te of Commencement is required.
SUPPuw'NTA'L'C'�.f-ST-AU"CTlQN.�L-.
,.
'�f Ll l•:lltl'F;ORM/IT;IQN:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
►,
Address:
City:
Stake:
City: State:
Zip: Phone
1
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not A�plicable
BONDING COMPANY: Not Applicable
Name:
#"
Name"
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obfa€n 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 Horne 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 0o;rmit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida; Suilding Codes and St. Lucie County Amendments.
The following building permit applications are exeq)pt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wall.,slgns, 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 jobsito before the first inspection. If you intend to obtain financing, consult
with lender or a.n attorney before corm-6encing work or recording your Notice of Commencement.
Signature of
.1 Y Ir1( /11 /
ctor as Agent"Mr.Qwner
STATE OF FLORID --�
COUNTY OF
Sworn toL (or affirmed) and subscribed before me of —Physical Presence or Online Notarization
this JL! day of o 2QD� I by ;s
Name of person making statement.
Personally Known OR Produced Identi'll;ption
Typa,'W Identification Produced
(Signature of Notary Public- state of Florida )
Commission No. '10( V (Seal)
REVIEWS FRONT ! ZONING
COUNTER I REVIEW
MJESSICA GROVER
otary Public -State of Florida
Commission # HH 119064
FE*1
My CommissionExpires
April 19, 2025
-[--
SIJPERVISOR PLANS VEGETATION SEA TURTLE
�. REVIEW
REVIEW REVIEW REVIEW
MANGROVE
REVIEW
❑ CMPRESSOR
❑ SUCTION PSI
❑ HEAD PSI
❑VOLTS AMPS
❑ ELECTRICAL CONNECTIONS
O CONTACTS TIGHT Is CLEAN
❑ OIL LEVEL a CONDITION
C3 CONDENSOR COIL
❑ CLEAN COIL & CHECK FIN COND.
GENT_°F LVG °F
O REFRIGERANT
U22 ❑ rat 0a
❑ FAN AND MOTOR
OVOLTS AMPS
❑ ELECTRICAL CONNECTIONS
U CONTACTS TIGHT a CLEAN
❑ FAN PULLEYS (ADJUST BELT)
O CHECK LUB BEARINGS & MOTOR
❑ EVAPORATOR COIL
O CLEAN & OIL & CHECK FIN
❑ENTDB_°FILVGDB --F
❑ENTWB—°F LVGWB—'F
❑ CONDENSATEAREAS
o NSPECrs ai:ivl awN 14vi
apsxcraaFANORAN
e,4RFILrERS - -
❑aEARED ❑RFAACED
RETERSIM
❑ HEATING ASSY.
O BLRfRi & f EAT E%O WJGEtY
O FIIELSIPPLYB FRESELRE
OPLOTASSEMBLY
ORAM1IEPDA15iatDJr
OFAN&IMRSTMfCHOPER
OBLONIItASSEMSLY
ORVYle.VE
OSTRPI FAT
❑OFFROSTCYCIE
❑ ELECTRICAL COMPTS.
❑RELAYS CICOIW rolls
DOVERLO.D OF'RESSSWRcfi
❑THERMOSTAT
Cloy, UREruCE
ORELOCATE
❑ DUCT SYSTEM
STATIC PRESSURE
RETURN SUPPLY
FLIER UNITRATNG_
TEMP Wa VENT
Manufacturer
Eat DR*
BROW
CV i � (i I 2 l ..�
_ l - = •� ��.
SERVICEi= i r_
j �.. SCHEDULED
o� `.+IfY1'1T'PATE tT U t l .l. ...
DVo.v GD.y hTC Im. Q 1J
COVERAGES - _ V1I-I4_I 't'[.R. 1
PREVIOUS _ �rolution ... 641 TWI 1`107 LEAKING 5''
CALLS _ +L5. nisi= - _.. mLr_'?HUR A.M.
SERVICE - - - - / D COMPLETE
._ _ .., _ _ _ i _ _ �/ ❑ PARTS ORDER
REQUEST ` ❑NOT HOME
O RESCHEDULE
O OTHER
" • • • ' ' • • DESCRIPTION OF WORK
ir Lim
TECH l / TIME TIME
IN OUT
• TECH TIME TIME
#2 a IN OUT
PAYMENT
h I nd agree to the terms and conditions of my contract, and I understand
. "the servtcea claim against my contract
PART NEEDED
PART NEEDED -T
P.O.# 1 [ Z 3 rG 5i _
P.O.#
PARTS WARRANTY
All parts as recorded are wpfanted as per manufacturer speciBcaaons
LABOR GUARANTY
The labor charge as recorded here
PARTS
L. _.
relative to the equipment serviced as noted, Is guaranteed for a period of 30 days.
LABOR
We do not of course, guaranty other parts than those we Install. if repairs later become
necessary due to other defective pans, they will be charged separately.
No guaranty on any drain stoppages.
SERVICE
- CHARGE
BFS WILL NOT BE RESPONSIBLE FOR PROPERTY DAMAGE WHEN
REMOVING T
OTHER
DISCOUNTS
TO PERFORM NECESSARY SERVICE WORK AND I ACCEPT
PERFORMED SERVICE AND/OR CHARGES AS BEING SATISFACTORY I TAX 1 q2,
L I
All sales are final with no adjustments or refund
�� •' AIVIUUN I
aww�•unn DUE
;,3778, CAG05677a, CAC057400, CFCOSBF.
_ --- _1'0095.279402, 289307, 00811', i. 0081114, EC13007734 \��