HomeMy WebLinkAboutArman Permit App.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: ! U i;d5 5 Ucean Dr # 226 Jensen Beach. FL 34957
Residential X
Property Tax ID #: 4511-501-0159-000-8 Lot No.
Site Plan NameHOLIDAY OUT AT ST LUCIE BLK E LOT 6 Block No.
Project Name: Arman AC Changeout
I DETAILED DESCRIPTION OF WORK:
Install new 3 ton, 14 SEER Arco-aire straight cool package unit
Equipment models: PAJ436000KTPOB
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
`4IVlechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
_ Generator
Sq. R. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cynthia Arman
Name:Ray Lalloo
Address:10725 S Ocean Dr #226
Company:Frigid Air LLC
Address.1651 SE Goucho Ave
CityJensen Beach state
ZipCode34957 Fax:
City:PSL State: FL
Phone No.(603) 398-5839 E-
Zip Code: 34952 Fax:
Mail:
Phone No779-919-11:1R
Fill in fee simple Title Holder on next page (if different
E-mail Ray@frigidair.cool
from the Owner listed above)
State or County License CAC1819319
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
Address:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 an�r applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu 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 andposted on the jobsite before the first inspection. If you intend to obtain financing, consult
i+h Icnrlcc�n,dttnrnav hafnrp rrrmmPnrina wnrk nr recordine vour Notice of Commencement.
Ignature of Ow r/ L ssee ntractor as Agent for Owner
STATE OF FLORIDA .
COUNTY OF� .
Sworn to to (or affirmedo and subscribed before me of V1hysical
Presence or Online Notarization
this day OAAN � 20Q(�by
( `3o
Name of person making statement.
Personally Known \-40 OR Produced Identification
Type of Identification Pr duced
6-71-
i nature of Notary Public- State of Florida)
ovP RACHAEL CLINTON
Commission No. (Seal) ;_�`� uB�� ^Notary Public -State of Florida
_* *= Commission # GG 318424
a a:
My Commission Expires
�unn` April 01, 2023
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Kev 5/25/21