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HomeMy WebLinkAboutFedna Completed Permit Application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services �/ Building and Code Regulation Division Commercial Residential X X X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C13DG Funding PERMIT APPLICATION FOR: Residenta# A/C Changeout PROPOSED IMPROVEMENT LOCATION: Address: 5778 Sunberry Circle Fort Pierce Florida 34951 Property Tax ID #: 1312 - 502 - 0231 - 000 - 0 Lot No. 519 Site Plan Name: Block No. Project Name: The Fedna's DETAILED DESCRIPTION OF WORK: Like for like ac changeout of a 3 ton 14 seer split system Goodman unit for another 3 ton 14 seer split system unit Condenser Model: GSX140361 K Air Handier Model: ARUF37C14A AHRI Certificate Reference Number 2012295489 - document submitted with this permit app New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: (Affidavit required) Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 4,668.37 Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Fedna Eliassaint Name: Christopher Herrera Address: 5778 Sunberry Circle Company: Meridian Comfort LLC city: Fort Pierce state: FL Zip Code: 34951 Fax: Phone No. (772) 801 - 4905 E- Address: 2050 SE Berkshire Blvd city: Port St Lucie state: FL Zip Code: 34952 Fax: Phone No (772) 307 - 9372 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-mail Karem?_bmeridiancomfort.com State or County License CAG1820486 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: _ Address: City: — Zip: Pho FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ State: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: _Not Applicable 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 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 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 our Notice of Commencement. 4/A Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me of X' Physical Presence or Online Notarization thisday 201.-Lby �of G Name of person making 9tatement. Personal) Known OR Produced Identification y ° pr• 2?`�+��a Type of Identification Produced :� W©TAHY fin: �"•40 _ (Signature of Notary Public- State of Florid ? C �' Commission No. 1 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev 10712721