HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/5/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6408 OLEANDER AVE FT PIERCE FL 34982
Legal Description: 10 36 40 W 110 FT OF E 285 FT OF N 200 FT OF S 1/2 OF N 1/2 OF SW 1/4 OF SW 1/4
OF SEC -LESS N 30 FT- (0.43 AC) (OR 3472-2999)
Property Tax ID #: 3410-331-0003-030-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: I
Exact AC Changeout of Goodman 3 Ton 16 Seer - 10kw heater
Condenser Model: GSX160361
AH Model: ASPT47D14
CONSTRUCTION INFORMATION:
Tap
worKtobepertormed under this permit—check all that appy:
HVAC Gas Tank E]Gas Piping ❑ Shutters Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator 11 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 4915.00
S Ft, of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameHarry Dare Laura Dare
Name: Donald Myers
Address: 6408 Oleander Ave
Company: AC CARE LLC
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No. 772-579-8088
Address: 1500 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-252-3231
Phone No. 772-266-2665
E -Mail: blaise06l2@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: office@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: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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
s
_ Signature of ner/ Lessee/Agent 3�ignature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Mala -f i ri COUNTY OF MQkiin
The forgoing instrument was acknowledged before me
this �hday of l l 20 1by
I
(Name of person acknowledging)
(Signature of Nota Pub jc- State of Florida )
Personally Known J/ OR Produced Identification
Type of Identification Produced
ARLY PINZON
-eemmissoat M GGOwb
EXPIRES March 22. 2021
Revised 07/15/2014
The forgoing instru en t was acknowledged before me
this-nLdayoflu 20 jjby
dna(;, lacknowledging)
(Name of person
(Signature of Nota 4 Publ(- State of Florida )
Personally Known v OR Produced Identification
Type of Identification Produced
40:"4F:._ ARLY PINZON ..
EXPIRES March 22.2021
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