HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/29/2016 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: 10680 S. Ocean Dr # 807, Jensen Beach, 34957
Legal Description: Island Crest Condominium unit 807 and undiv share in common elements (OR 186-11)
Property Tax ID #: 4511-516-0084-000-7
Site Plan Name: Powell
Project Name: Flynn's AC
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Replace a 2T AC system with a 5kw htr, without duct replacement for a residential building
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❑✓ _HVAC _ Gas Tank DGas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4620
Name Carolyn Powell
Address: 10680 S. Ocean Dr #807
aPPIY
Shutters ❑ Windows/Doors
ElGenerator Roof
SFt. of First Floor: _
Utilities: Sewer _ Septic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 513-708-2112
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 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:
-- •
Address:City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: No
Name: t Applicable
—
Address:
City: State:
Zip Phone:
BONDING COMPANY:
Name•
Address:
Zip: Phone:
—Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
ie
un
no
which is In con Xiciawith any applicable on Home Owners Asssociationl rulesaby aws othe
and covenants that may rthe estrict oc 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
Commencing work or recording your Nntiro of r',,..,...e....,,.___.
Sig6fbre of O*Aer/ Lessee/Agent
STATE OF FLORIDA�,
COUNTY OF N\&hJ a
The f r oing instrument was acknowledged efore me
thisIT day of 20 j -by
(Name of person ackno ledging ) 1.
V v '
71911ature or Notary Public- AAteof Florida )
Personally Known X_ OR Produced Identification
Type of Identification Produced
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`ure of License Holder s
�a.
STATE OF FLORIDA
COUNTY OF_
The forgoing instrument was acknowledged before me
this day of f) V/ ZO by
(Nam
1e
�of p�erssoIJ--P
n bCknowledging )
(Signature o ry ary Stat` ida�
Personally Known %� OR Produced Identification
Type of Identification Produced
Commission No. -
WI(AW)
OF FLORIDA
Commission No.
(Seal)
STATE
EE219335
.E J. 9R0"
NOT
Revised 07/15/2014
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STATE OF FLORIDA
• Comm# EE219335
REVIEWSFRONT
COUNTER
ZONING SUPERVISOR
REVIEW
PLANS VEGETATION
SEA TURTLE MANGROVE
DATE
REVIEW
REVIEW REVIEW
REVIEW REVIEW
COMPLETE
INITIALS