HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/2018
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 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 19 Oro Grande Way ,Part Saint Lucie ,Florida 34952
Legal Description:
Property Tax 1D #: 3414-501-1701-000-9
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A1C Change out, install RHEEM 3Ton 14Seer ,10 KW Heater, Package Unit, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit— check all that appy:
0 HVAC Gas Tank 0Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing OSprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,600.00
S�Ft.j of First Floor:
Utilities: L_[Sewer Septic Building Height:.
OWNER/LESSEE:
CONTRACTOR:
Name Ronald D'Amico
Name: Keliy Certosimo
Address: 19 Oro Grande Way
Company: Air Temp Air Conditioning Inc.
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No.772-579-8370
Address: 651 NW Enterprise Drive #107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-340-0740
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: airtempaca@yahoo.com
State or County License: CAC1814837
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/F"'SINEER: _ _ Not Applicable
MORTGAGF COMPANY: Not Applicable
Name:_ __
Namt_
Addr--- cIVRY, OF 5alniLUc+e,rn,.--
Addre«.
City: e State:
City: F State:
Zip. Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:6s1 NW Enterprise Drive #107
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work or recording your Notice of Commencement.
Rev. 8/2/1.7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
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this day of 20Xby _
The fa ing instru was a k owledged ore me
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/1.7