HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \ a
Date: 51*2019 SCANNED Permit Number:
BY
s - = 1.)t. Lucie County RECEIVED
0
--- _- Building Permit Application MAY 17 2019
Planning and Development services
Building and Code Regulation Division C,T, L4elp County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982---
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT TYPE: Primary - Mechanical Permit
PROPOSED IMPROVEMENT LOCATION:
Address: 10978 S. Ocean Dr., Jensen Beach, FL 34957
Property Tax I D #: 4512-331-0002-020-1
Site Plan Name: Courtyard Marriott -Jensen Beach
Project Name: Jensen Beach Marriott- CT Replacement
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Remove existing cooling lower and supporting steel. Replace with like Fluid cooler, supporting steel and reconnect piping to new equipment.
Square tube steel penetrating roof to remain.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
XMechanical
Electric
_ Gas Tank
Total Sq. Ft of Construction:
Plumbing
Cost of Construction: $ 202,285
Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jencourt LLC
Name. Larry R. Wrye
Address: 1001 E Atlantic Ave, STE 202
Company: Farmer & Irwin Corp.
P
City: Delray Beach State: FL
Zip Code: 33483-6974 Fax:
Phone No.561-274-2353
Address: 3300 Avenue K
City: Riviera Beach State: FL
Zip Code: 33404 Fax:
Phone No 561-842-5316
E=Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lwrye@fandicorp.com
State or County License CMC1249948
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signatur f caner/ Lessee Contractor as Ageygf Wwner
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STATE OF FLO A //��
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STATE OF FLOR�pq B�c�
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The forgoing instrument was acknowledged before me
this (o day of 1''tT 20 Iq by
The forgoing instrument was acknowledged before me
this /3 day of /hay . 2011 by
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Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
P oduced
Produced
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(Si nature of Notary Public -Sate 61�Fo idaz
(Signature of Notary P lic- State of Florida)
t1.R Christina G. Clack
Commission No. 01 , QARYPUBLIC
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Commission No.
o -+STATE OF FLORIDA
Comm# GG015495
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