HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO ,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-18-2017
Permit Number:
s
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 X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 15351 Navion Dr
Legal Description:
Property Tax ID #: 422450100180007
Site Plan Name:
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace existing 5 ton system with new Ruud 5 ton 16.0 seer w/10kw heat
Models RA1660 & RH1T6024
Like for like
Lot No. 18
Block No.
CONSTRUCTION INFORMATION:
Additional wor to e Pe orme under this permit – c ec a app y:
LV (HVAC u Gas Tank —]Gas Piping n
Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof O Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor:
Utilities: Li Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Janice St Julien Name: Tracy D Steele
Address: 15351 Navion Dr Company: TRACY D STEELE AIR CONDITIONING INC
City: fort St Lucie State: FI Address: 2750 SW EDGARCE ST
Zip Code: 34987 Fax: City: PORT ST LUCIE State: FL
Phone No. 678-972-5744 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
- ..�............. ,.,,.:r......, 0 n6wnvw JMUtMW u1 u]rnmencen`leni is requireaL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; _ Not Applicable MORTGAGE COMPANY:.
Name: Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
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.
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Signature of Owner/ sse /C'bntractor as Agent for Owner Signatureof Cont ctor/ ' se Holder
STATE OF FLORIDA
COUNTY OF STLuciE
The forgoing instrument was acknowledged before me
this C6._ day of CX_ 3 20 by
TRACY Q STEECE
tiName or person acknowledging)
(Signature of Notary Public- State of Florida )
Personally
Type of Ids
STATE OF FLORIDA
COUNTY OF STLUGE
The forgoing instrument was acknowledged before me
this j" day of 0_`c 20 Eby
TRACY STEELE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally
Type of Id(
Commission
MY COMMISSION #FF081099
ft
FebruA ) 2018Commissi
,
{437) 398{3153
Elo0dmNotuyS*n4oe.o*m
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
COUNTER
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
MY comm
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW