HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/21/2021
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT LOCATION:
Residential
Address: 5800 Sunset Blvd
Property Tax ID #: 3402-609-0490-000-3 Lot No. 12
Site Plan Name: Block No. 65
Project Name:
DETAILED DESCRIPTION OF WORK:
Mechanical AC change out - Goodman 3 TON SEER 14.00 KW 5
cond#GSX140361--- a/h#ASPT35B14---htr#HKSC05XC
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_ Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: 1,632 Sq. Ft. of First Floor:
Cost of Construction:$ 4,153 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameFYR SFR BORROWER LLC %HAVENBROOK HOMES
Name: Mark Steven Steiner
Address: 3505 KOGER BLVD STE 400
Company: Fuss Free AC LLC
City: DULUTH State: GA
Zip Code: 30096 Fax:
Phone No. 855-516-7624 E-
Address: 2880 SW 23rd Terrace Suite 101
City: Fort Lauderdale State: FL
Zip Code: 33312 Fax:
Phone No 954-771-3333
Mail: JJOCURIN@HAVENBROOKHOMES.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitAfussfreeac.com
State or County License CMC1250879
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: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 attorney before commencing work or recording our Notice of Commencement.
�-�- �teven �tei her
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Florida
Sworn to (or affirmed) and subscribed before me of _ Physical Presence or X Online Notarization
this 29 day of November 20 21 by
Merlyn Garcia
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
LPLL14D - `J
(Signature of Notary Public- State of Florida)
Commission No. I t+048a (Seal)
REVIEWS
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SUPERVISOR
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VEGETATION
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MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
Rev 5/70/11