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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10600 S. Ocean Dr Apt 909, Jensen Beach, FI 34957
Legal Description: OCEAN SOUTH CONDOMINIUM II UNIT 909 AN D UNDIV SHARE IN COMMON ELEMENTS
(OR 397-2027: 995-715; 3730-1517)
Property Tax ID #: 4511-517-0096-000-7
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/ 5kw heater 14 Seer
conal worN to De perrormea unser this permit — ci
HVAC Gas Tank F]Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,720.00
Name Shirley Carr
Address: 10600 S. Ocean Dr Apt 909
Shutters F]Windows/Doors
Generator Roof
S�Ft.j of First Floor: _
Utilities: Sewer []Septic
City: Jensen Beach State: Fl
Zip Cade: 34957 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joseph Flynn
Building Height:
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 required.
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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
Joseph Flynn`"N .,
_ Signature of Owner/ Lessee/Agent.o,_
STATE OF FLORIDA
COUNTY OFm n__
The for oing instru ent was acknowledged before me
this day of 20 /4� by
Personally Known UH Produ nk"on
Type of Identification Pro ii*T, ic
Commission No. STATE OFFLORIDA
Coraf��11�54
Expires 4/7/2018
Revised 07/15/2014
Joseph Flynn 'd„°;a°s"";•�"•,, 5
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF --
The
The forgoing instrum j nt was acknowledged before me
this 1-5 day of_ 20 by
(Name of person ack owledging.) -
(Signature of Kotlary Public- gataf Florida )
Personally Known /OR Produced Ide tifr� cation
Type of Identification Produced f z0vt
Commission No.TE OF FLORIDA
Conwi%C FF1105M
--a• Exnir�Anr .e
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