HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Wig I
Ui ing 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: 7420 S. Ocean Dr, 212C
Legal Description: SAND DOLLAR CONDOMINIUM C -UNIT 212 AND UND PRO -RATA SHAREIN COMMON
ELEMENTS (OR 387171-1 F7si
Property Tax ID #: 3522-604-0007-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Replace A/C unit without duct replacement for residential bldg. 2 ton w/ 5 kw heater 14 SEER
HVAC 0 GasTank
Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,000.00
Name Jacqueline Kelly
Address: 7420 S. Ocean Dr. 212C
Piping UShutters Windows/Doors
nklers El Generator ❑ Roof
City: Jensen Beach State: F1
Zip Code: 34957 Fax:
Phone No. 847-514-4461
E -Mail: mjb@flynnac.comcastbiz.net
S Ft. of First Floor:
Utilities:cnSewer❑Septic Building Height:
Fill in fee simple Title Molder on next page ( if different
from the Owner listed above)
Name: Joseph Flynn
Company: Flynn's Air Conditioning Service
Address: 1323 SW Thelma St
City: Palm City State: FI
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
If value of construction is. $2500 or more, a RECORDED Notice of Commencement is
"Jlu
Name ryCK/ tIVU 1Iv It LIC x Not Applicable
FRONT
MORTGAGE COMPANY:
=Not Applicable
Address.
VEGETATION
Name:
MANGROVE
City:
COUNTER
Address:City:
REVIEW
State:
Zip: Phone:
REVIEW
REVIEW
State:
GATE
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
x
_Not Applicable
Address:
Name:
Address:
INITIALS
City:
Zip: Phone:
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
commencin work or recording your Notice of CommenrpmAnr
Joseph Flynn a=s••a-===N.-0a
_ Signature of Owner/ Lessee/Agent o
STATE OF FLORIDA
COUNTY OF Martin
Joseph Flynn S
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Math
The forgoing instrum��n�t,w,as acknowledged before me The forgoing ins ent was acknowledged before me
this day of Zo &by this l day of—I, 20 I� by
_ Jc=ah_ate, fvt
(Name of person acknowledging ) (Name of oersgn acknnv,Ir cm. i
Personally Known L
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
��mer._ Rullum fere
FLORIDA
(Signature 6frlotary
Personally Known ✓
Type of Identification
Commission No.
Expires 417/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
GATE
COMPLETE
INITIALS