HomeMy WebLinkAbout10016793 BP Application - St Lucie County S&NAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:: 9/3/2021 Permit Number:
0171,
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 South Ocean Drive, Jensen Beach, FL 34957
Property Tax ID #: 124096 Lot No.
Site Plan Name: Island Crest Condo. Block No.
Project Name: 10016793 JENBEACH
DETAILED DESCRIPTION OF WORK:
Replace existing HVAC with proposed HVAC; Add proposed DAC and proposed DAC Louver
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: �Rggiiw
Additional work to be performed under this permit —check all that apply:
_Mechanical ^ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _-, Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Nicole Bivona (authorized agent for AT&T)
Name: Maurice Webb
Company: A/C & Refrigeration Proffessionals, Inc.
Address: 8601 Sunrise Blvd
City: Plantation State: FL
Address: 1735 Mosaic Forest Drive
Zip Code: 33322 Fax:
City: Seffner State: FL
Phone No. 985-707-5633 E-
Zip Code: 33584 Fax:
Mail: nicole@hpsllc.us
Phone No 954-806-3427
Fill in fee simple Title Holder on next page (if different
E-Mail service@airconditionpro.com
from the Owner listed above)
State or County License Florida
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: T
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 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, 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 lender or an attornev before commencine work or recordine your Notice of Commencement.
IA&h,9 &'"C&
Signature of Owner Le/Contractor as Agent for Owner
STATE OF 1QW6iMA
COUNTY OF I Ptl-e—
Sworn tQ(or affirmed) and subscribed before me of -Izphysical Presence or� Online Notarization
this Wdaynnof 15ePkmbeR_ 201L by
I �� 11 • DV�1��
Name of person making statement.
Personally Known _ief:':::'OR Produced Identification
Type of I ntificati Produced
O FICIAL SEAL
()I
(Sig t e of N aryPubi' - State of Florida) ' ry Y
NOTARY IO # 92122
Commission No. �/ a0- (Seal) �,�' "
STATE OF LOUISIANA
PARISH OF ST_ LANDRY
My Commission is for Life
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