HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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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 X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S OCEAN DRIVE, UNIT 1910, JENSEN BEACH FL 34957
Legal Description: ISLANDIA II CONDOMINIUM UNIT 1910 (OR 3551-661)
Property Tax ID #: 4502-602-0184-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Exact AC Changeout of First Company 3.5 Ton 13 Seer Water Source Unit
Model: WSVX040N6RH
ionai worK co De errormea
HVAC
unser cnis
Gas Tank ❑Gas
perms — cneCK all apply:
Piping _Shutters ❑Windows/Doors
Electric 0
Plumbing
Sprinklers ElGenerator E]Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4200.00
SFt. of First Floor:
: _
UtilitiesSewer � Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Guillermo & Patricia Nunez
Name: Donald Myers
Address:9500 S Ocean Drive Unit 1910
Company: AC Care, LLC
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No. 561-779-5638
Address: 4425 SW Martin Hwy
City: Palm City State: FL
Zip Code: 34990 Fax: 772-252-3231
Phone No. 772-266-2665
E -Mail: nunezwell@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: info@accareheatair.com
State or County License: State License #CAC1818622
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
VEGETATION
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Address:
REVIEW
Address:
City:
City:
Zip: Phone:
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
l7� s
Ignature of Owner/ Lessee/Agent Signatifff of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �&O'X 't Y1 COUNTY OF O'V-%t Yl
The forgoing instrument was ack owledged before me The forgoing instrument was apknowledged before me
this day of 20 lby this day of tt lAQ1 lR7— , 20 1 LD by
bor6-1d t�lu�rs 101 titi�te rs
(Name of person acknowledging) (Name of person acknowledging)
` � �_ A PA, &
Cq - e-_ d6W a&A :n
(Signature of Notary PubState of Florida) (Signature of Notary
-P /Ic- State of Florida )
Personally Known V&OR Produced Identification ersonally Known V denlif'
Type of Identification Pro 11 1tJt=NIFy I A ANFg Type of Identification [ ' SRITTNEY L LA
=� '-: MY SOM,MISSION N FF9568 MY COMMISSION N FF256679
Commission No. E% �Febmery 02.4040 Commission No. E%PIREerY p4. Z040
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Revised 07/15/2014
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