HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/3/2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Riverbend LLC -12016
PROPOSED IMPROVEMENT LOCATION:
Address: izu io mveroena Ku Tort 5t Lucie 34984
Property Tax ID #: 4422-502-0013-000-3
Site Plan Name:
Project Name: Riverbend LLC - 12016
DETAILED DESCRIPTION OF WORK:
Install new 5-ton 16 seer 10kw 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
Total Sq. Ft of Construction:
Cost of Construction: $ 6877
Sprinklers _ Generator
Sq. Ft. of First Floor:
X
Lot No._
Block No.
Windows/Doors Pond
Utilities: —Sewer —Septic
OWNER/LESSEE:
Name Riverbend LLC
Address: 12016 Rivebend Rd
City: PSL State: _
Zip Code.. 34984 Fax:
Phone No. 772-214-0851
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Roof Pitch
Building Height:
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 TCAC 1 990@ATT. NET/TCACSVC@ATT. NET
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: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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 commencin work or recording our Notice of Commencement
Signatu a of ner/ essee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF /`1'A/tT/�
PSwor to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this 3 day of _TA ug�_ 202)Lby
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Name of person making statement.
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