HomeMy WebLinkAboutHAMILTON PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/10/2022 Permit Number:
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PAW
D Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X '...
2300 Virginlo Avenue, Fort Pierce FL 34982
Phone : (772) 462-1553 Fax: (772 ) 462-1578 Cl3DG Funding
PERMIT APPLICATION FOR
Pj30POSEI? ( MpOUE�!IENTLOCATLOJI ,
Address : 2322 KEEN ROAD
Property Tax ID # : 1431 -322-0001 -000-3 Lot No.
Site Plan Name : Block No .
Project Name : GISELAHAMILTON
DET.�ILED DE�C1ZlPTIQN: Q �1`iUORl4 � ` � '� _
LIKE FOR LIKE AC CHANGE OUT 16 SEER 10 KW 4 TON
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New Electrical Meter Second Electrical Meter. (Affidavit required )
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�ONSTfZ�JGTIP �I �NF� ftJVhATION ` ' � �� � � � � � d , i i
Additional work to be performed under this permit — check all that apply:
XMechanical _ Gas Tank _ Gas Pi ping Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction : Sq . Ft , of First Floor:
Cost of Construction : $ 7957 . 00 Utilities : _ Sewer Septic Building Height:
Name GISELA HAMILTON Name : Christopher Langel
Address : 2322 KEEN ROAD Company: sarnaet A/r' d ShAa AAatal Inc I
City: FT PIERCE State : FL Address : 3108 INDUSTRIAL 31ST STREET
Zip Code : 34946 Fax: City: FT PIERCE State : FL
Phone No , 772-461 -3753 E- Zip Code: 34946 Fax: 772-4484416
Mail: Phone No 772466-2400
Fill In fee simple Title Holder on next page (if different E-Mail INFO@SEACOASTAIR.COM
from the Owner listed above) State or County License CMQG35421
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.
SURPLEiY1 � NTA�-c�IVs� R�CTIQN Lj �N LAW'aN'�ORMA�It� N �'
DESIGNER/ENGINEER; _ Not Applicable MORTGAGE COMPANY : _ Not Applicable
Name : _ Name :
Address : Address :
City : State : City: Stater
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 Instal latlon as Indicated ,
I certify that no work or Instal latlon has commenced prior to the issuance of a permit. I
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 1 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 your Notice of Commencement.
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Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affir�a JUAf rfdbed before me of X Physical Presence or _ Online Notarization I,
this 10 day of 2022 by
CHRISTOPHER LANGEL
Name of person making statement
Personally Known )< OR Produced Identification
Type of Identification Produced`
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($nature of Notary Public- State oT Florida) .�
�� ••{H%°Y"• JUSTINA to HOPKINS CONNELLY
Commission No n S eal) �iR •
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MY COMMISSIONR00940662
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE —
COMPLETED
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