HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/25/2017
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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: 7220 Reserve Creek Dr
Legal Description:
Property Tax ID #: 332260100190009
Site Plan Name:
Commercial Residential X
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with new
Ruud 2.5 ton 16.6 seer w/5kw heat Models RAI 630 & RH1 T3617
Like for like
CONSTRUCTION INFORMATION:
Additional work to be performed un er t is permit - c ec a app y:
WIHVAC Gas Tank Deas Piping Shutters
Electric Plumbing O5prinklers E Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 3500.00
OWNER/LESSEE:
Name Ching Kueng Ken Nip
Address. 7220 Reserve Creek Dr
City: Port St Lucie State: FI
Zip Code: 34987 Fax:
Phone No. 772-203-7423
E -Mail:
S Ft. of First Floor: _
Utilities:LiSewer D Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Tracy D Steele
Lot No. 18
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
Company: TRACY D STEELE AIR CONDITIONING INC
Address: 2750 SW EDGARCE ST
City.. PORT ST LUCIE State: FL
Zip Code: 34953 Fax. 772-336-4171
Phone No. 772-215-1974
E -Mail: tdsaca@aol.com
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/Less a ontracto Agent for Owner Signature of Co tr c -i]
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 8TLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this day of e 20 12by
TRACY D STEEf�E
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission
Revised
REVIEWS
DATE
COMPLETE
INITIALS
F
The forgoing instrument was acknowledged before me
this day of� 20 nby
TRACY D STEELE
{Name of person acknowledging)
(Signature of Notary Public- State of Florida
Personally Known X OR Produced Identification
Type of Identification Produced
Commission
NIY COMMISSION OFF081098
;tiEXPIRES February 23, 2418
064 F104allot#ry5ervke.com
FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
—Til EL F STACEY
MY COMMISSION #FF081098
EXPIRES February 23, 2418
398-0153
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW f REVIEW