HomeMy WebLinkAboutSUBMITTED PAPERSFrom: Holly KuHnski Fax: +1 (800) 767-0066 /" To: Fax: +1 (772) 462-1678 Page 2 of 4 09/03/2014 8:26
ALL APPLICABLE INFO' !MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 104 1 �-7 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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine
PROP : SEI):.IMP.ROVEMEN?' zOCi- T!0N:
Address:
Legal Description: Villa - aizdom "
Property Tax ID #: qS l?, 76 t 00@3 W00_ Lot No.
Site Plan Name: _ Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
:DETAILED DESCRIPTION OF WORK:
'?N q QS�00,k W i A-k-, S" kQa__� . 14, iuee r) / a5 Tv m .
CONS�_kucTION INFORMATION; k
AdUltiOnalworlitobeperformed un er this pgr'mit- che& go tat aop v:
IiVAC Li Gas Tank
Electric 0 Plumbing
[]Gas
[]Sprinklers
Piping
I� Shutters
loGenerator
Q
Windows/Doors
Roof
11
Total Sq. Ft of Construction:
Cost of Construction: $ 08(r,S e 0 d
S . Ft. of First Floor: _
Utilities: 0 Sewer C Septic
Building "eight:
bwN,. R/ 8SI E:
CONTRACTOR:
Name �� h_aLf:,im
Name:
Address: 0 { ba Lnc cel'Ar e- U
Company: 't `
City: ?C�- S� . V i ,e State:r-(-
Address: S_ kIlS Wlsi A 1
Zip Code; _3t^i E Q, Fax:
City; rv-34• Pe cl-C, 1 State:-,r,
Phone No.5rat -- Qs-z - ci I T)
Zip Code ;Ngaa Fax: -" 2-0-AM-AX59
E-Mail:
Phone No. -77 2. - (0-1 Q " 3n 0
Fill in fee simple Title Holder on next page { if different
E-Mail:
from the Owner listed above)
State or County license: (, C �{ yO
if value or construction is Sz5uu or more, a RECORDED Notice of Commencement is required.
From: Holly Kulinski Fax: +1 (800) 767-0066 - To:
Fax: +1 (772) 462-1678 Page 3 of 4 0910M014 8:26
i
S-OPP E NTAL CONSTRUCTION LiEN LAW.INF4RMATiOW. .
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: r�Not Applicable
Name:
Name,
Address:
Address-
City-
City:
Zip: Phone:
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 pe it 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 your Notice of Commencement.
Signature of caner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF _�A�{.t +C' .
COUNTY OF �-.
The forgoing instrument was acknowledged before me
this day of _ { �g�(`� 20 I4 by
The forgoing instr ment was acknowledged before me
this � day of �, 20_jg by
(c In a.rA 1,11.1)( c . t7lbi -.
1
(Name of person acknowledging)
(Name of person acknowledging)
(Signat e f Notary Public- State of Florida)
(Signatur otary Public- State of. lorida )
Personally Known OR Produced Identification
Personally Known,, � OR Produced Identification
Type of Identification Produced
Type of identification Produced
� Y 1JlCOLE KULRiSKI��.",.�o
Commission Na, �i'� ��iMI6SION#FF142'!32
Commission No *": ;°�� ( &NICOLElawsKi
EXPIRES; August 6, 2oi8
;
* * MY CDMMiS510N # fF 142732
°� �Y k sevteo
EXPIRESIA000t5,2018
rigpf ondwrtvua1+ ervKes
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
11
I BUILDING PERMIT
m Online address: http://www.stiucleco.org/planning/permifting.htm
Planning & Development Services Quick Links:
Building & Code Regulation Division Permit Status Lookup
2300 Virginia Avenue Online Building Inspection System
Fort Pierce, FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
Permit #: SLC 1409-0015 Confirmation #: 708 Issued: 9/4/2014
Job Location: 11000 OCEAN DR 15 City: JENSEN BEACH
Permit Type: MECHANICAL/HVAC COMMERCIAL - Status: ISS Date Expired: 03/04/2015
INCLUDES HOODS
Job Description: HVAC CHANGE OUT (LIKE FOR LIKE) RUDD MODEL 14AJM19A01 AND MODEL
RHALFR18PJNOOA, 1.5 TON, 14.5 SEER WITH 5 KW FOR HEAT - FOR A CONDO UNIT 2-15.
Subdiv: VILLA DEL SOL CONDOMINIUM
Lot:
Block:
Parcel:
4512-701-0023-000/3
Setbacks Left:
Right:
Front: Rear:
Zoning: HIRD
Number of Units: 1
Floors: 1
Buildings: 1
Square Footage:
Flood Map:
Flood Zone:
Elev:
Contractor
RICHARD H WHITTEMORE
AIR REPAIR SOLUTIONS INC
(772) 672-3020
1815 HAZELWOOD DR
FORT PIERCE, FL 34982
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Property Owner
WALTER B SMITH
11000 S OCEAN DR # 15
JENSEN BEACH, FL 34957
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those
for all electric, plumbing, mechanical, roofing and structural work. Further he/she acknowledges responsibility to comply with all requirements of the 2007 Florida
Bulding Code and the St Lucie County Land Deveelopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved parry by filing a notice of appeal with St. Lucie County
Growth Management Director within thirty (30) days of the' issuance of this permit in accordance with St. Lucie County Land Cevelopment Code, Section
11.11.00., Appeals.
Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a
satisfactory Inspection within six (6) months from the date of issuance of the permit or if the work is not completed within 18 months (permit by contractor) or 24
months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this
county, and there may be additional permits required from other governmental entities such as water management disitricts, state agencies, or federal agencies.
s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 RECORIDNG
YOU NOTICE OF COMMENCEMENT. s:713.135 (10(a), F.S.
Carl Peterson
Building Official
q�.,�,
Date
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
Receipt
Online address: http:/Aw/w.stlucieco.org/planning/permifting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Daily Inspector Schedule
Date: September 04, 2014
Receipt #: 0000101494
Permit Number: 1409-0015
Job Address:
11000 OCEAN DR 15
Amount:
$165.70
Paid With:
VISA
Credit Card # 1587
Paid By: AIR REPAIR SOLUTIONS/ HOLLY KULINSKI
Received By: humphreya
Fee Description Fee Amount
NBIMS651 N-BP BIMS' $5.00
NBPSur935 N-BP Surcharge - Permi808 - HVAC Commercial includes Hoods $2.30
NBPTru994 N-BP Trust Surcharge - Permi808 - HVAC Commercial, includes $2.30
Hoods
NPermi808 N-Permit Fee - HVAC Commercial, includes Hoods $153.65
Credi15 06-Credit Card Fee - 1.5% $2.45
Total: $166.70
9/4/2014 2:13:27 PM
r
.�0$►� _
Inspection Card
Planning B. -0015 Development Services Permit # : 1409
Building & Code Regulation Division Online address:
http://www.stlucieco.org/planning/permitting.htm
2300 Virginia Avenue
Quick Links:
Fort Pierce FL34982
+ . Permit Status Lookup
Phone:(772)462.2172 Fak:(772)462.6443 Online. Building Inspection System
Permit# SLC- 1409-0015 #onfirmation 708 Status ISS
Issued: 9/4/2014 Type: MECHANICAL/HVAC COMMERCIAL
- INCLUDES HOODS
Job Location: 11000 Ocean Dr 15 City: Jensen Beach
Jurisdiction: SAINT LUCIE COUNTY Parcel: 4512-701-0023-000/3
Subdivision: VILLA DEL SOL CONDOMINIUM Lot: Block -
Flood: Elev: Flood Map:
Set backs: Left: Right: Front: Rear:
Job Description: Hvac Change Out (Like For Like) Rudd Model 14Ajm19a01 And Model Rhalfrl8pjnooa, 1.5 Ton, 14.5 Seer With 5
Kw For Heat - For A Condo Unit 2-15.
Contractor Richard H Whittemore -- Cert # Air Repair Solutions Inc (772) 672-3020
27533
1815 Hazelwood Dr Fort Pierce, FL 34982
Property Owner Walter B Smith
11000 S Ocean Dr # 15 Jensen Beach, FL 34957
. SUB -PERMITS
Permit No Status Permit Type Cert # DBA Owner/Builder
For the automated inspection system call (866) 284-1280. To schedule an inspection online go to
http://codeinspectionpublic.stiuciecagov. All inspections requested prior to 9:00 PM will be scheduled for the next business
day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you
require any assistance please contact the Building Department at (772) 462-2172.
Inspection Notes:
Permit# Code Description Prlorft Sched. Date Res Description Inspector Insp. Date
1409-0015 380 MECHANICAL FINAL 1
1409-0015 999 FINAL INSPECTION 1
Total Inspections: 2
Report prepared on 9/4/2014 2:13:58 PM