HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/22/21 Permit Number:
cad'` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVE M1,1, ,NTL 1.
Address: 10600 S Ocean Dr # 109, Jensen Beach
Property Tax I D #: 4511-517-0016-000-3 Lot No.
Site Plan Name: Sandra & Brian Ristau Block No.
Project Name: Flynn's Air Conditioning Service
rDETAILED DESCRIPTION OF WORK:
Replace A/C System with a 2.5T, 12 SEER thru the wall unit, with a 8 kw heater
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: Sq. Ft. of First Floor:
Cost of Construction: $ 6450 Utilities: __ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sandra & Brian Ristau
Name: Joseph Flynn _
Address: 10600 S Ocean Dr # 109
Company: Flynn's Air Conditioning Service
City: Jensen Beach State: FL
Address: 1323 SW Thelma Street
City: Palm City State: FL
Zip Code: 34957 Fax:
Phone No. 772-224-5557 E-
zip Code: 34990 — Fax: 772-781-1307
Mail: sristau2l &gmail.com
Phone No 772-283-4114
Fill in fee simple Title Holder on next page (if different
E-Mail mjb a-)flynnac.comcastbiz.net
State or County License CAC055482
from the Owner listed above)
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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
01
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: XNot Applicable
Name:
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 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, 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.
Sign re of Ow r/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA 0
COUNTY OF atz-n tJ
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this day of 20J\ by
J�' n
Name of person m king statemen
Personally Known �_ OR Produced Identification
Type of Identification Produced
—T-
(Signarture of Notary Public- State of Florida )
NICHp1AS BUTNA
Commission No. t�t`� (Seal) IIYC011AMISSIONNGG97&W
s, a EXPIRES: June 26.2024
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