HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �) I—Mkos
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 IMPROVEMENT LOCATION:
Address: 5151 N A1A 512-C
Legal Description: OCEAN HARBOUR CONDOMINIUM C-UNIT 512 AND UNDIV SHARE IN COMMONELEMENTS(OR 1365-1526)
Property Tax ID#: 1411-707-0021-000-8 Lot No.
Site Plan Name: �1 Block No.
Project Name: . AUrA iJG i R NO 1 �I
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace HVAC system Indoor Unit and outdoor Unit.
t�s
CONSTRUCTION INFORMATION:
Additional work toe nerformed under tispermit-check all tha appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric . E]Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2995.00 Utilities: LnJ Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name `DAU,'A C=7i 00 (I %J64.' Name: Jeff Crull
Address:-S151 i'%) A 1 C Company: Crull Services Inc
City: State:F� Address: 81 Queens Road
Zip Code: Fax: City: Fort Pierce State:FL
Phone No. -In 261 -5 25-- '73 8 6 Zip Code: 34949 Fax:
E-Mail: fs Phone No. 772-332-5138
Fill in fee simple Title Holder on next page(if different E-Mail: jeff@crullservices.com
from the Owner listed above) State or County License: CAC1817276
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: 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 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 our Notice of Commencement.
a -P, S cllt� s
-;� Q)5_�'31
Si f caner/Lessee/Agent Signatur Co r /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this )l�day of 2by this J_k__day of 20 4� by
(N a of person acknowledging) (Name of person ackno ledging)
tgnature of Notary Public-Sta of Florida) (Signature of Notary Public-StiLtg of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Q LUgo- •
Commission No. Commission No.
•�unu�y LA AHNA INGRAM
Notary Public-State of Florida .9; tal��f#�itgNt1R`A'P�lorida
1ootar f
' .• MY ° -? .• My Comm.Expires Dec 20,2018 !
=N s .uv; commission#FF 177249 m
Revised 07/15/2014 '^ Assn. + �;� Commission#FF 177249
Oµ i ,F FI-0040��
��'%;Fov r.,,•� g�nded through National Notary ,,,,,,•. Bonded through National Notary Assn.;
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS