HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
L Y
Luc1e County
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 Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED, IMPROVEMEN,TLOCATION
Address: 10200 S Ocean Dr PH-1 (Unit 701)
Legal Description: Atlantis III by the Sea PH1 (701) and PRO-RATA, SHARE IN COMMONELEMENTS (OR 3608-2522)
'CO NSTRUCTION , I'N FORMATION
itiona wor to e nej orme under this perms — c ecAa apply:
j=1
R HVAC 1 Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing U Sprinklers a Generator 1-1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 3261
S Ft. of First Floor: _
Utilities[]Sewer[ Septic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name Larry Hendrichsen
Name: James J Wauters
Address:1950 SW Palm City Rd #1304
Company: Just Chillin' HVAC LLC
City: Stuart State: FL
Address: 5422 NW Cromey St
Zip Code: 34994 Fax:
City: Port St. Lucie State: FL
Phone No. 772-222-7927
Zip Code: 34986 Fax:
E-Mail:
Phone No. 772-940-4373
E-Mail: lustchillinair@hotmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 26326
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
INEER: _ Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signo6ture of Owne Agent/ Lessee Signdture of Contr ctor/License Holder
STATE OF
IDA
COUNTY OF ORS 5�', LO c COUNTY OF STATE OF OR�\- •
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this al day of 20 14 by this ZO day of 20__1A by
J am` 1\ W �i V t S _�Sd W%4t S
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary ublic- State of Florida) (Signature of Notary)5ublic- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced F L 0 i- Type of Identification Produced F-L 10!L
Commission No.T'--d4%4—Jra (Seal) I Commission No.ER 5 (Seal)
Revised 07/15/2014
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