HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/22/2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
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 # 903 Jensen Beach 34957
Legal Description: Oceana South condominium II unit 903 and undiv share in common elements (or 539-2200)
Property Tax ID #: 4511-517-0090-000-5 Lot No.
Site Plan Name: Carlson Block No.
Project Name: Flynn's AC
Setbacks Front Back: Right Side: Left Side:
Replace a 2Ton AC unit with a 5KW htr, without duct replacement in a residential building
LI MVAC L_I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4720
Name Arthur B Carlson Jr
uqa Fcl iuu— UncUn nu oPPY.
Das Piping _ Shutters F]Windows/Doors
Sprinklers Generator 1:1 Roof
Sqj �Ft. of First Floor:
UtiIities:'n Sewer F-1 Septic
Address: 10600 S Ocean Dr # 903
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-631-7178
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Joseph Flynn
Building Height:
Company: Flynn's AC Services
Address: 1323 SW Thelma ST
City: Palm City State: FL
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.
Name:
Address:
City:
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:
Name:
Address:
City:
Zip: Phone
_Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
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 afull 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 your Notice of Commencement.
re ofiOwner/ Lessee/Agent
STATE OF FLOR �STATE OF FLORr" t
COUNTY OF �!� COUNTY OF l ` 1
The forgoing instrument was acknowledge before me
this ayof. 20 LVby
Personally Known X OR Produced Iden' iowwoWN
Type of Identification Produced .. _ M10_.IV 0 .
Commission No.
Revised 07/15/2014
The forgoing instrument w111 as acknowledgedbefore me
this 2�.clay of - 20 d (
1& by
`-�' ��
(Name of person a jkn�ow�edging I
(Signature of Notary Public- State of Florida )
Personally Known X__ OR
Type of Identification Produce;
10 I Commission No.
011120'16
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