HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/12/2016 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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10600 S Ocean Dr 808 Jensen Beach
Legal Description: OCEANIA SOUTH CONDOMINIUM II UNIT808 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3733-544; 3836-499)
Property Tax ID #: 4511-517-0085-000-7
Site Plan Name: Gener
Project Name: AC Install
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Replace a 12 seer, 2T AC unit with a 5KW htr. without duct replacement in a residential building
HVAC II Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4720.00
Name Joseph Gener
Address: 10600 S Ocean Dr 808
Piping Shutters Windows/Doors
nklers Generator Roof
SFt, of First Floor:
Utilities:I]SewerE]Septic Building Height:
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 732-616-0974
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph Flynn
Company: Flynn's AC Sercives
Address: 1323 SW Thelma Street
City: palm City State: FL
Zip Code: 34990 Fax: 772781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC065482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit
Phone:
St. Lucie Count
yy 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 thQfirst inspection. If you intend to obtain financing, consult with lender or an attorney before
commencitna woskor recordine your Notice of Commencement_ /
Joseph Flynnall
_ SignaturTILORIQA
-Owner/ Lessee/Agent o,
r
STATEOF
COUNTY OF 0,A i 1
The forgoing instrument was acknowledged before me
this L day of 20 Eby
ATE OF FLORIDA �l
)LINTY OF b V h Gl> _
The forgoing instrument was acknowledged before me
this _Mday d;1R aeA+ , 20 1 J0 by
(Name of persoO acknowledging I (Name of perso0acknowledgingli
r
(Signature of Notary Public State of Florida) OWN
Personally Known R 1 R PitlCff'radl}tiRn
Type of Identification
Commission No.9)yU10
Revised 07/15/2014
(Signature of Notary Publ - State of Florida )
/�,� EJ. BROWN
Personally Known L'(: ,r'� pmt
Type of Identification Proq� W1_ _
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
i
INITIALS
I
BUILDING & CODE REGULATION DIVISION!
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
772-462-1553
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO:, St Lucie County
RE: —Ge, u1 �
Permit #
Credit Card Users: 1,5% Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
1gR9a1
Credit Card Number
Expiration Date
3 digit security code
Amount $ -210, �
Business Nan
Authorized Si
Print Name:
.MASTERCARD
Zip Code
+ 1.5% surcharge
Phone: ('72:-) q l i
Fax: (-7 -7 ?, ) -
Comments:
SLCPDSD Revised 4/01/2010 EN