HomeMy WebLinkAboutDanielson Permit Application _20220204(1)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
A. • _ �ti — - 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 CBDG Funding
PERMIT APPLICATION FOR: Danielson-8800
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S. Ocean Drive #508 Jensen Beach 34957
Property Tax ID #: 3535-603-0042-000-9
Site Plan Name: Danielson-8800
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 3.5 ton 13EER Climate Master package unit
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
124
Lot No._
Block No.
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: $ Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Donlad Danielson
Name: Luke Walker
Address: 8800 S Ocean Drive #508
Company: TREASURE COAST AIR
City: Jensen Beach State: _FL
Zip Code: 34957 Fax:
Phone No. 772-229-8354 E-
Address: 1055 S.W. MARTIN DOWNS BLVD
City:Palm City State:
Zip Code: 34990 Fax:
Phone No 772 692 1701
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If values of rnnctrn +iv i, 7rnn
E-Mail TCAC1990@ATT.NET
State or County License CAC058476
- - -- -- -- -- •••-•-, w — vuninien ument is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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.
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Signat re of Co ract r - or -Owner Builder as applicable
STATE OF FLORIDA
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