HomeMy WebLinkAboutBuilding Permit app _20211130All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
C�U-C�Qe
L= o o. 1,
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Von Punk -7440
PROPOSED IMPROVEMENT LOCATION:
7 A A
Huuress: — -:a 1 uiive Drug H-eze uensen beach 34957
Property Tax ID #: 3522-602-0020-000-6
Site Plan Name:
Project Name: Von Plank -7440
DETAILED DESCRIPTION OF WORK:
Install new 2 ton 15 seer 5kw Rheem system
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
Total Sq. Ft of Construction:
Cost of Construction: $ 4880.00
OWNER/LESSEE:
Name Gill Von Plank
Address: 7440 S Ocean Drive Bldg a-626
City: Jensen Beach
State:
Zip Code: 34957 Fax:
Phone No. 518-330-2991
E-Mail:
Generator
Residential X
Lot No.
Block No.
— Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer —Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
f value of construrtinn is 7rnn — ..,,,. Urrnnmrm w _ e_
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
--- - ••- �_ �w���nienc.ernent is requiretl.
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
UwlvtK/ t•UN I KAL I UK 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, ► 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 hPfnrp rnmmanrina X.,.,ri, nr roi•r\rA;-_ .,,.. _.r , _ v_ _ _ __ __
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S" nature of 0 r/ Lessee/Contractor as Agent for Owner
Signat re of Co ai:1071ttcerise Holder
STATE OF FLORIDQ►,,
COUNTY OF /*/ 1/7%/AI
STATE OF FLORIDA ��/
COUNTY
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Sworn to (or affirmed) and subscribed before me of
X Physical Presence
Sworr to (or affirmed) and subscribed before me of
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or Online Notarization
this _Z gday of %4//,Py/ 20 �/bY
Physical Presence or Online Notarization
this '7 '7day of i(,0 I/• . 202A/by
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Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.