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 XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7230 Reserve Creek Drive
Legal Description: RESERVE CREEK PARCEL 4 LOT 17 (OR 3270-98)
Property Tax ID #: 3322-601-0018-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 17
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace existing a/c equipment, like for like.
Rheem 5.0 ton 15 SEER 10kw heat, with ATTIC AHU
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit - check a11 appy:
0HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Flectric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4700-00
SaFt.of First Floor:
Utilities: El Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Karen R Barker
Name: Wanda Gahn
Address: PO Box 546
Company: AC Buddy, Inc.
City: Independence State: VA
Zip Code: 24348 Fax:
Phone No. (276)613-5560 Tenant Russell Halstead (954)589-8333
Address: 2451 Seminole Rd.
City: Fort Pierce State: PL
Zip Code: 34951 Fax:
Phone No. (772) 480-4136
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ACBUDDYINC@GMAIL.COM
State or County License: CAC181909
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: xx Not Applicable
Name:
Address:
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
commencing work or recording vour Notice of Commencement..
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Sianature of Contractor/Licen +Hold
STATE OF FLORIDA
COUNTY OF St. Lucie
The for of g instru ent was acknowledged before me
this 4ay of 20 _L by
Wanda Gahn
(Name of,person acknowledging
(S�nature of Notary Public- 5 ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Kristina ons
N 0 T A R NAMUC
STATE OF FLORIDA
Expires 4/23/2021
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