HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/1312018
CC )U NT' Y
F I. O. R i Q p
L
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 8934 FIRST TEE RD, PORT ST LUCIE
Legal Description:
Property Tax ID #: 333450000780007 Lot No.
Site Plan Name: Block No
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton system with;
Goodman 5 torr 16.9 seer w110kw heat
Models GSX16060 & ASPT6ID
Like for like
CONSTRUCTION INFORMATION:
ACIamonal work to e e orme un er
'❑HVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
OWNER/LESSEE:
Name GISELLE GOLDEN
tnrs permit —cl
EGas Piping
Sprinklers
Left Side:
aii apply:
In Shutters
Generator
SFt. of First Floor: _
Utilities:Sewer Elseptic
Address: 8984 FIRST TEE RD
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-882-9685
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
�] Windows/Doors
I=1 Roof Roof pitch
CONTRACTOR:
Name: TRACY D STEELE
Building Height:
Company: TRACY D STEELE AIR CONDITIONING INC
Address: 2750 SAl EDGARCE ST
City: FORT ST LUCIE State: FL
Zip Code: 34953 Fax: 772-336-4171
Phone No. 772-336-2448
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.
PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
SIGNER/ENGINEER: Not Applicable
FNa
MORTGAGE COMPANY: Not Applicable
me: GISELLE GOLDEN
_
Name: TRACY D STEELE
dress: 8934 FIRST TEE RD, PORT ST LUCIE
Address: 8934 FIRST TEE RD
City: PORT ST LUCIE State:
City: PORT ST LUCIE State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name.
Name:
Address: 2750 SW EDGARCE ST
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n%A1 JPD/ rf%Kironr•rno nrrir %n. _ .
EXPIRES February 23, 2418
-- - -� �,-• - • ••^�- • — r,1 . 1"V I I . Mppflcaoon is nereoy mane 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 nonresidential 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/ Lessee Co tractor as Agent for Owner Signature of Contra for/Li ens Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 13 day of JUNE 20_[:2 by
Namf- of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 13 day of JUNE 120AZ by
fZfr sll-z ]
Narr& of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
i'
(Signature of NotarV Public- State of Florida
(Signator
' `
""� : DANIEL F ST V
Commissi n'RYo �► _
Commissl(
A
n
DANIEL F STACEY
` SION *rFIN1��
-Vow •
Iny CQMM9SSION *Ft€ #6"3
-'^,r +° ` EXPIRES February 23, 2;1i)<
h ..: ry
EXPIRES February 23, 2418
007) 394-0153
Floridallotary5ervice.corT,
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17