HomeMy WebLinkAboutapplicationSUPPLEMENTAL CONsTRygqfl LtEN LAW TNFORMATTON;
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City:State:
Zip:Phone
MORTGAGE COMPANY; X Not Applicable
Name:
Address:
City:State:
Zip _Phone
FEE SIMPLE TITTE HOLDER: X Not Applicable
Name:
Add
City
zip:Phone:
lress:
BONDING COMPANY: X Not Applicable
Name:
Address:
zip:
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 subiect structure
which conflicts'with any applicable HomeownersAssocia"tioh rules. bvlaws or and covenants that mav restrict or orilhibit suchstructure. Please consull" with your Homeowners Association and ieview your deed for any restrictions which may apply.
ln 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
nfurehf.0dntractor - or - Owner Builder as applicable
Online Notarization
ldentification
Type of
ate of Florida)
J. Prckc
Comm
sn6no22
City:
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pogtegl on the jobsite before the first inspection. lf you intend to obtain financing, consult
with
OF FLORIDA
AII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATXON TO BE ACCEPTED
Date: 12113121 Permit Number:
Planning and Development SeNices
Building ond Code Regulation Division
BA0 Virginia Avenue, Fart Pierce FL 34982
Phone: 17721 462-1553 Fax: (7721 462-1578
Building Permit Application
Commercial Residential
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION :
Address:4 Qintana Roo Lane
x
Gr- l' lr I /,i'lrlt'--.-<cr_ rJ! L=\:LVL]L5 --i(,:rilJtlili?-il.kt
Property Tax lD #:
Site Plan Name:
Lot No
Block No.
Project Name:Ac change out
DETAILTD DESCRIFTION OF WORK:
14 seer 3.5 ton with 10 kw heater package unit replacement
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit - check all that apply:
X Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
-
Pond
_ Generator _ Roof _ Pitch_ Electric _ Plumbing _ Sprinklers
Total sq. Ft of construction:Sq. Ft. of First Floor:
cost of construction; 5 {e'! 3'oA Utilities: *Sewer _Septic Building Height:
lf value of construction is 25OO or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
owNrR/LESSE[;CONTRACTOR:
Sherry Williams
Address: 4 Quintana Roo Lane
City:Port saint lucie State: FL
Zip Code: 34952 Fax:
phone No. 850-653-6017 g-
Mail:
Fil! in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Jason Campbell
Company: CamPbellCoolingLUl
Address: 5484 nw empress circle
City: Pori saint lucie state: FL
Zip Code: 34932 Faxl
Phone No 772-323-1567
E-Mail campbellcoolingandheating@gmail.com
State or County 1;ss65s CAC1B20B30
CONSTRUCTION I N FORMATION :