HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/27/2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential i k
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Cl3DG Funding
PERMIT APPLICATION FOR:
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Address: 277 BERMUDA BEACH DR
Property Tax ID#: 1425-701-0090-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
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LIKE FOR LIKE 3 TON 14 SEER SYSTEM WITH 8 KW HEATER
New Electrical Meter Second Electrical Meter. (Affidavit required)
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. e5 5685 Utilities: —Sewer —Septic Building Height:
Name STEVEN DEESE Name: CURTIS SAMMONS
Address: 277 BERMUDA BEACH DR Company: CUSTOM AIR SYSTEMS INC
City: FORT PIERCE State: FL Address: 1615 SE VIILAGE GREEN DR
Zip Code: 34949 Fax: City: PORT SAINT LUCIE State FL
Phone No. 803-518-7252 E- Zip Code: 34952 Fax:
Mail: Phone No 772-335-3232
Fill in fee simple Title Holder on next page (if different E-Mail CUSTAIRSYS@AOL.COM
from the Owner listed above) State or County License CAC051810
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
it value of HAVC is$7 500 or more,a RECORDED Notice of Commencement is required.
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I FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
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OWNEW CONTRACTOR AFFIDV1T: 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 rakes no representation that is ranting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners sociation rules,bylaws ar and covenants that may restrict or prohibit such
structure. Please consult with your Horrreownem 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:roam 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 com encinv work or rer:eardin yyPur Notice of Commencement.
Signature of Cr>ntractor-or Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
sworn to(or affirmed)and subscribed before me of T Physical Presence or_-, Online Notarization
s this ,day ofa�Z�_. .20 Eby f
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Personally Known A.- R Produced identification i
Type of'Identification oduced_„_,
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(Signature of Notary Public-Sta.e of Florida)
Commission No. UPlell) RONALDLAUCH
Commission k HH 067M
Expires Nov~29,2024
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