HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
COi�t 1V T Y.
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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1 E( /q C�C.t 1 Lt1_
Legal Description:
Commercial Residential X
Property Tax ID #: 13 >(-5_6S& 03o) -,,,,r7 Lot No._
Site Plan Name: Block No
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existino7 ystem with new C4,otr�r t cirk-z
Like for like
CONSTRUCTION INFORMATION:
ACIffitional work to br
fome un er t is permit — c ee a apply:
10HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric E]PlumbingSprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
SFt. of First Floor:
Utilities:'nSewer ESeptic Building Height:
rOWNERAESSEE: CONTRACTOR:
Name N r.\ 1 j U-0 Name: Tracy D Steele
Address: � ALr{ I L� A ;I%� Company: TRACY D STEELE AIR CONDITIONING INC
Cit ` .
y� � �`� LO State: f�L— Address: 2750 SW EDGARCE ST
Zip Coder ` 95 j Fax: City_ PORT ST LUCIE State: PL
Phone No. 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
State:
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 your Notice of Commencement.
Signature of Owner/Les ee/C ntr for as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing 'instrument was acknowledged before me
this :' t-- day of 20 Llvy
TRACY D STEEItE
Ilvame or person acknowledging )
(Signature of Notary Pi ID- .
DANIEL P STACEY
Personally Known X Prfrdue(; i1 0t, 0*1FF06109ti
Type of Identification d' . �xeIRF:S E .hrUA4 23 any R
(407) 3WW53 F)orioaNUlaryService com
Commission No,
Revised 07/15/2014
REVIEWS FRONT l ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
�Lt" s
Signature of Contra for/L4cen ^Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this i b day of 20 17 by
TRACY D STEELE
(Name of person acknowledging)
(Signature of Notary
Personally Known X
Type of Identificatior
Commission No.
MY COMMISSION #FF081098
(Sea 1)
SUPERVISORI PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW