HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/07/2018 Permit Number-
11ji iNumber-
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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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3450 TWIN LAKES TER #203
Legal Description:
Property Tax ID #: 132770400330008
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 3.5 ton system with new;
Ruud 3.5 ton 16.0 seer w110kw heat
Models RA1642 & RH1T4821
Like for like
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional war toe erformed under this permit —check all n appy:
HVAC Gas Tank Gas Piping_ Shutters Windows/Doors
Electric 0 Plumbing O Sprinklers M Generator F Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Sq. Ft.
of First Floor: _
Utilities: Ll Sewer 0 Septic
Building Height:
OW N ERAESSEE:
CONTRACTOR:
NameJAMES EAVES
Name:
Address:9523 LAURELWOOD CT
Company: TRACY D STEELE AIR CONDITIONING INC
Address: 2750 SW EDGARCE ST
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-216-2407
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No. 772-336-2448
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: tdsac@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 LAWN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: JAMES EAVES
MORTGAGE COMPANY: i Not Applicable
Name:
Address: 3450 TWIN LAKES TER #203
Address: 9523 LAURELWOOD CT
City: FT PIERCE State:
Zip: Phone
City: PORT ST LUCIE State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 2750 SW EDGARCE ST
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
commencina work or recording vour Notice of Commencement.
Rev. 8/2/17
Signature of Owner Less e/ ntractor as Agent for Owner
Signature of Contractor rice _e'H der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 7 day of JUNE 12013 by
this 7 day of JUNE 201A by
TRACY D STEELE
TRACY D STEELE
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced 9
(Signature of Notary Public- State of Florida 1
(Signature of Notary Public- State of Florida j
Commission No.I" ° NlELTACEY
Commiss . .+..•IEL STA')
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ANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17