HomeMy WebLinkAboutBILLINGS PERMIT APP._20220317.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MARCH 17 2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
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: 10851 S. OCEAN DRIVE #118 JENSEN BEACH 34957
Property Tax ID #: 4511-810-0125-000-0 Lot No.
Site Plan Name: BILLINGS-10851 Block No.
Project Name: BILLINGS-10851
DETAILED DESCRIPTION OF WORK:
INSTALL 2.5 TON 14 SEER 10KW PACKAGE RHEEM SYSTEM
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
XMechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing 7 _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: l (' Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN G BILLINGS
Name: Luke Walker
Address: 10851 S OCEAN DRIVE 118
Company: TREASURE COAST AIR
City: JENSEN BEACH State: FL
Address: 1055 S.W. MARTIN DOWNS BLVD
Zip Code: 34957 Fax:
Phone No. 248-842-1313 E-
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
E-mail_TCAC1990@ATT.NET
from the Owner listed above)
State or County License CAC058476
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 attorne b commencingwork or recordingour Notice of Commencement.
Signatur of Co a - ner Builder as applicable
STATE OF FLORIDq )/l t 1 � 1� �i
COUNTY OF I'
V
Sworn to (or affirmed) and subscribed before me of /\ Physical Presence or Online Notarization
this 1—I day of Mr1 � C h 20Jby
Name of person making statement.
Personally Known k OR Produced Identification
Type of Identification roduced
(Signature of Notary Public- State of Florida)
Commission No.I i (Seal)
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
NICOLE LYNN NELSON
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2025
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