HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/27/2021 Permit Number:
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L- r _.e,...f; c c �� '-- 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: Math laS-9400
PROPOSED IMPROVEMENT LOCATION:
Address: 9400 S Ocean Drive BLDG -B UNIT - 804
Property Tax I D #: 3535-702-0059-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Mathias-9400
DETAILED DESCRIPTION OF WORK:
Install new 2 ton 15 seer 5kw Rheem system
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
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: $ 4480.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Mathias
Name: LUKE WALKER
Address:9400 S Ocean Drive 804
Company: TREASURE COAST AIR
City: Jensen Beach State:
Address: 1055 S.W. MARTIN DOWNS BLVD
_
Zip Code: 34957 Fax:
Phone No.561-310-6000
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
E-Mail:
Phone No 772-692-1701
Fill in fee simple Title Holder on next page ( if different
E-Mail TCAC1990@ATT.NET/TCACSVC@ATT.NET
from the Owner listed above)
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:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
�---•-�•/ -WIM. n mrriwvl 1. 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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, 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 leader or an attorney before commencing work or reci our Notice Of Commencement.
of Own #-.(essee/Contractor as Agent for Owner
STA`rE-al`- ORIDA
COUNTY OF 1'1.4,?7-,
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this --�z' day of —P.CQE ^13 6A 200/by
Name of person making statement.
Personally Known
Type of Identificai
Produced
(Signs of Not;
Commission No.
OR Produced Identification
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OFAEL RIS"ii,
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Signat are of Contra or icense Holder
STATE OF FLORIDA
COUNTY OF
Swor o (or affirmed) and subscribed before me of
nPhysical Presence or Online Notarization
this —�- day of _�C�ll�Cil 20by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
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