HomeMy WebLinkAboutBuden Permit App STC _20211123.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:- Permit Number:
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F 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: BUDEN-10701
PROPOSED IMPROVEMENT LOCATION:
Address- 10701 S Ocean Drive Lot 657
Property Tax ID #: 4511-805-0058-000-3 Lot No. 58
Site Plan Name: Block No.
Project Name: BUDEN-10701
DETAILED DESCRIPTION OF WORK:
Install new 3 ton 14 seer 10kw WeatherKing Package unit
New Electrical Meter Second Electrical Meter
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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: Sq. Ft. of First Floor:
Cost of Construction: $ �5
Utilities: — Sewer — Septic Building Height:
OWNER/LESSEE:
Name Brain Buden
Address: 10701 S Ocean Drive Lot 657
City: Jensen Beach
State: _
Zip Code: 34957 Fax:
Phone No. 860-810-8411
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: LUKE WALKER
Company: TREASURE COAST AIR
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 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:
COMPANY:
x Not Applicable ?Name:
ORTG
DESIGNER/ENGINEER: —
Name: Address:
Address: State: City:
City: Zip: Phone:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
x Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x-__ Not Applicable
State:
X Not Applicable
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
hi ch is in conflict withlease t ny applicable H Oe Ow AssAssociation
c,a ion and reviewyyour deed foranyrestrict that
which may apply. ,bit such
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
._,. ....,.•r Jinrr vni it Kintirp of Commencement.
with I an attorne before comment,,, W01
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Sign ure of Own Le ee/Contractor as Agent for Owner
Signature of Contrac r/Li
rise Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF /t'/�FaTid/
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and
subscribed before me of
Physical Presence or Online Notarization
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Type of Identification
Type of Identification
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