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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/7/2021 Permit Number: 0 LLo ILIUM ^aw 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:'A3(/CCChange Out IT ,D+:c_EKSIS Address: 9409 S Ocean Drive, Jensen Beach, FI 34957 Property Tax ID #: 3535-333-0001-020-8 Lot No. Site Plan Name:. 2941(egoVI�G I ISLEo,UNIT �)FAOMUUTv, I SSEGUNs8SoEO„ MIN aSSGWA,oSOS U97,3,a,HN01DEG uMIDSIsECWGE2DIFTTOP Block No. Project Name: A/C Change Out 2 ton 14 SEERA/C change out with 5kw electric heater. New Electrical Meter Second Electrical Meter Additional work to be performed under this permit — check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction:. Cost of Construction: $ 5510 _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height: ^ y:? .�ry.k ,ty V th`.•� 'i Y '4a r ' e.F "" i. Name Fred Massa Name: Anthony Fenn Address: 9409 S Ocean Drive Company: Assured Air Conditioning City: Jensen Beach State: _ Zip Code: 34957 Fax: Phone No.(617)529-5586 Address: 278 NE Surfside Ave City: Port St Lucie State: FI Zip Code: 34983 Fax: Phone No (772)202-2005 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailanthory.fenn@assuredairconditionirg.com State or County License CAC1820274 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. SSU,RRLEMENTALCOnI TRaIJCIIbNrLI' N LA{\lV INi , q ©f DESIGNER/ENGINEER: — Not Applicable Name: MORTGAGE COMPANY: Name: Not Applicable Address: Address: City: State: Zip: Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: x Not Applicable 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 concurrencyreview: 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 commencine work or recordine vour Notice of Commencement. Signatur of Owner Lessee/Contractor as Agent for Owner Signatur Contractor/Lice Holder - STATE OF FLORIDA STA OF FLORIDA COUNTY OF_� i("� 1 COUNTY OF Sworn to (or affirmed) and subscribed before me of S v�orn to (or affirmed) and subscribed before me of V Ph sisal Presence or Online Notarization isal Prese or Online otarization this/ dayofof 2020 by day of 2 by /107� ANamepof Name of person ing statement. person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica 'on Type of Identification Produced ProdUcQd (Signature of Notary Pu e--' .,- -f " 1nFY._VB rRI I�AWENMAN (Si nature of Notary Public- Stat of yyip g ry QiP—Cf CAiHERIu3AWEINM �} "= 4ot�•,ry Pab State of Florida Commission NO. '; rhARFl�ion GG 239104 A `t �oltry Public- State of Commission N rs;�t eal Xommisson � S GG 239 oe vw°°t'^ My Comm. Expires Aug 23, 2022,?,F �'p�� My Comm. Expires Aug 2 Bonded throuith Nationel.4otary Assn. I ed throu h N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20