HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/16/2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
Address
3805 HYDRILLA CT
Property Tax ID #: 3425-706-0140-000-4
Site Plan Name:
Project Name:
LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
X Mechanical — Gas Tank — Gas Piping ___. Shutters
— Electric ___. Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
(Affidavit required)
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors T Pond
Roof Pitch
5235 Utilities: —Sewer Septic Building Height:
Name LLOYD & DIANE HARTMAN
Address: 3805 HYDRILLA CT
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-212-7199 E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: CURTIS SAMMONS
Company: CUSTOM AIR SYSTEMS INC
Address: 1615 SE VIILAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772-335-3232
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
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.
— Not Applicable
Name:
Address:
City: State:
rip. Phone
TION:
MORTGAGE COMPANY: Not Applicable
Name;
Address:
City: —_-_—_—State-.
Zip: Phone:
----------- - -
plicable
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: --_—Not Ap
1 Name. Narrie., . . .. . .......
Address: Address;
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 renting subject structure
gja permit will authorize the permit holder to build the subj(
which conflicts with an applicable Homeowners ss ion 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 anothpv non-residential use.
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvpments 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 attornev before commencing work or recording your Notice of Commencement.
Signature of Contractor - or - Owner guilder as applicable
STATE OF FLORIDA
COUNTY OF.— -1-- 1
Sworn to (or affirmed) and subscribed before me of Physical Presence Online Notarization
this -LU- day of
Name of person making statement,
Personally Known �OR Produced Identification
Type of Identification oduced,,--,,
(Signature of Notary Public- Stare of Florida)
Commission No. 71,31)
ti RONALDLAUCH
_J114Q(V_11A
Commission HH 067257
Ex0es, November 29,2024
I REVIEWS FRONT ZONING
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW
REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
LCOMPLETS D
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