HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 241 NE SUMMER ROAD
Legal Description: RIVER PARK -UNIT 9 -PART C BLK 78 LOT 4 (MAP 34/28N) (OR 1671-683)
Property Tax ID #: Parcel ID: 3419-570-0045-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
I DETAILED DESCRIPTION OF WORK:
Left Side:
INSTALL NEW 3 TON CARRIER AIR HANDLER AND CONDENSER. 8 KW HEAT, 14 SEER
24ACC436AO03 CONDENSER
FB4CNF036 X13 AIR HANDLER
8 K
Lot No.
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR: A/C DOCTORS INC
Name Eva M Stimpson
Name: DAVID KRUSE
itiona wor toe erorme under
E]
tispermit—checka
appy:
C
HVAC Gas Tank
E]Gas Piping
_ Shutters
Windows/Doors
�Electric 0 Plumbing
[]Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
Sai —F—t.i of First Floor:
Cost of Construction: $ 2500
Utilities:Sewer D Septic
Building Height:
OWNER/LESSEE: Eva M Stimpson
CONTRACTOR: A/C DOCTORS INC
Name Eva M Stimpson
Name: DAVID KRUSE
Address: 241 NE Summer Rd
Company: AVC DOCTORS INC
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 7723233302
Address: pobox 1527
City: PORT SAINT LUCIE State: FL
Zip Code: 34957 Fax: 7726075700
Phone No. 7726264629
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ACDOCTORSINC@GMAIL.COM
State or County License: CAC058461
it vaiue or construction is yZDUU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
..... Not Applicable
Name:
SEA TURTLE
Name:
Address:
REVIEW
Address:
REVIEW
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 mayPfsUJtin your paying twice for
improvements to you r perty. Notice of Commencement must a rec de and posted a jobsite
before the first ins cti n. If intend to obtain financing, consL4P, en er 4f n a ey before
STATE OPTLORI A t STATE OF Ft
COUNTY OF �YJ COUNTY OF
The f r oing instrulnent was acknowledged before me
this day of P( ` 1 20 /,Uby
4(Naaofperson acknowledgingature of Notary Public- State
Personally Know47P49 Type of Identific
Commission No.
Revised 07/15/2014
The forgoing instr ment was acknowledged before me
thisrudayof Mfl '20 IV _by
D NJi 6 1 Kcu&-e_
(Name of person acknowledging )
of Notary Public- State of
Personally Known _
Type of Identification
mu" rudre, State of Florida I
@illl¢�MFF970471 Commission No.
AA m. erylres Mar. 18, 2029
notary Puft slate of Florida
gyE2 1mWW FF 970471
m e111111irea Mac 18, 2020
REVIEWS
FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
INITIALS