HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03 g 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 XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 109 SE Solaz Ave., Port St_ Lucie
Legal description: RIVER PARK-UNIT 5 BLK 50 LOT 42 (MAP 34128N) (OR 4109-2457)
Property Tax ID#: 3419-540-0265-000-9 Lot No. 42
Site Plan Name. Block No. 50
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like - Goodman 2.5 ton 14 SEER with 8kw electric heat strip
Condenser model GSX14030, Air handler model ARUF31 B
LCONSTRUCTION INFORMATION:
Additional work to be e acme under this permit—check a apply:
1JHVAC Gas Tank ❑Gas Piping Shutters Windows
Q Doors/
11 Electric ❑ Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ Utilities:'n Sewer E]Septic Building Height:
OW N ERAESSE E: CONTRACTOR:
Name Maria F Santos, LLC Name. Wanda Gahn
Address:6444 NW Hacienda Ct. Company. AC Buddy, Inc.
City: Port St. Lucie State: FL Address: 3746 Seminole Rd,
Zip Code: 34986 Fax: City: Fort Pierce State: FL
Phone No.561-577-0858 Zip Code: 34951 Fax:
E-Mail: Phone No. (772)480-4136
Fill in fee simple Title Holder on next page(if different E-Mail: CAC1818909
from the Owner listed above) State or County License: acbuddyinc@gmaii.com
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: a�'Not Applicable
Name: Name:
Address: 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 our Notice of Commencement.
4L
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The for ng instr nt w s acknowledged before me
this day of 120 by this ay ofk. Ire 20jl by
Wanda Gahn
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known xx OR Produced identification
Type of Identification Type of Identification
Produced Produc d NfA
Q.A./3
(Signature of Notary Public-State of Florida j gnature of Notary Public-State-of Fl rid*,jistina R.Parsons
OT,�Y PUBLIC
Commission No. (Seal) Commission No. GG090836 �,' E OF FLORIDA
Cwo*GGM36
I/ Ea Ex Tres 40112021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17