HomeMy WebLinkAboutLUNDGREN PERMIT APP._20220310All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MARCH 10 2022 Permit Number:
LUCILi-
Building Kermit 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: HVAC REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 7440 S OCEAN DRIVE A -
Property Tax ID #: 3522-602-0019-000-6
Site Plan Name: LUNDGREN-7440
Project Name: LUNDGREN-7440
DETAILED DESCRIPTION OF WORK:
INSTALL 2TON 15SEER 5KW RHEEM SYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
XMechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
4835
(Affidavit required)
Generator
Sq. Ft. of First Floor:
x
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name THOMAS LUNDGREN
Name: Luke Walker
Address: 7440 S OCEAN DRIVE A526
Company: TREASURE COAST AIR
City: JENSEN BEACH State: FL
Zip Code:34957 Fax:
Phone No. 608-290-5117 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)
E-Mail TCAC1990(gATT.NET
State or County License CAC058476
It 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.
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
UwIVtK/ LUIV I KAL I UK AFFIV VIT: 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 an� applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consul t 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender an)attornev hpfnrP rnmmpnrina %Ainrk nr rnrnrrJina ,' ,i it nl—+;- .,f r•
Signatur of Co actor - or- Owner Builder as applicable
STATE OFF RIDA
COUNTY, fflnc+-n
Sworn to (or affirmed) and subscribed before me of Physical Presence or
)C
Online Notarization
this dayof M(IrC V-) 2R�.by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
LYNN
No. ��� (Seal)
+Y
my COMMISS
S�mberH982025
EX -Commission
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev
.,..rs.' _... _ ..