HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/07/2017 Permit Number:
ENO Wr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7211 Mystic Way
Legal Description:
Commercial
Property Tax ID #: 332262000450009
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Replace existing 5 ton system with new
Ruud 5 ton 16.0 seer w110kw heat Models RA1660 RH1t6024
Like for like
Residential X
Lot No. 40
Block No.
aaamonal work to be performed un er This permit — check a app y:
1 HVAC Gas Tank DGas Piping _ Shutters []Windows/Doors
11 Electric Plumbing Sprinklers a Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4500.00 Utilities: E Sewer [:]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elizabeth Nanna
Name: Tracy D Steele
Address: 7211 Mystic Way
Company: TRACY D STEELS AIR CONDITIONING INC
p Y�
City: Port St Lucie State: Fl
Address: 2750 SW EDGARCE ST
Zip Code:. 34986 Fax:
City: PORT ST LUCIE State: FL
Phone No. 772-461-3668
Zip Code: 34953 Fax: 772-336-4171
E -Mail:
Phone No. 772-215-1974
Fill in fee simple Title Holder on next page ( if different
E -Mail: tdsac@aol.com
from the Owner listed above)
State or County License: CAC035553
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address.
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address.
City:
Zip: Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
te:
Not Applicable
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 our Notice of Commencement.
Signature of Owner/Less /Contrast as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIF
The forgoing instru'ent was acknowledged before me
_
this day of 20 jgby
TRACY D STE=Et`E
(Name of person acknowledging)
i r �
(Signature of Notary Public- State of Florida j
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/1
REVIEWS
DATE
COMPLETE
INITIALS
Signature
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this X— day of lqbo-&Ql 20/ by
TRACY D STEELS
(Name of person acknowledging )
' L
(Signature of Notary Public- State -r da )
Personally Known X OR Produced Identification
Type of Identification Produced
ro' ........'.
ea
DANT L STAGY
Commission No.
DANIE TACEY
'
MY COMMISSION #FF081098
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My CQMMISSRQN #FF(381098
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EXPIRES February 23, 2018
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EXPIRES February 23, 2018
398•pi53
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(407) 398-0153
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