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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/28/2018 Permit Number: J ILI WO 0 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 x Address: 10106 US Highway 1, Port St Lucie Legal Description: Property Tax ID #. 3414 501 3715 200 6 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: REPLACE EXISTING 3 TON SYSTEM WITH; RUUD 3 TON 16.0 SEER W110KW HEAT LIKE FOR LIKE MODELS RA1636 & RH1T3617 [1 of 2] systems Right Side: Left Side: Residential Lot No. Block No. CONSTRUCTION INFORMATION: Additional war to a er orme un er t is permit — c ec a appy: ZHVAC Gas Tank F]GasPiping _Shutters ❑Windows/Doors IJ Electric ❑ Plumbing ❑ Sprinklers Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 4500.00 SFt. of First Floor: UtilitiescnSewer El Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 10-100 HOLDINGS LLC Name: TRACY D STEELE Address: 10100 US HIGHWAY 1 Company: TRACY D STEELE A/C INC PORT ST LUCIE FL City: State: _ Zip Code: 34952 Fax: Phone No. 772-323-1610 Address: 2750 SW EDiGARCE ST City: PORT ST LUCIE State: FL Zip Code: 34953 Fax: 772-3364171 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 52500 or more, a REGORLiEV Notice or [:ommencemeni is required. SUp MENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: TRACY D STEELE Name:10-100 HOLDINGS LLC Address: 10100 US HIGHWAY 1 Address: 10106 US Highway 1, Port St Lucie State: City: PORT ST LUCIE State: City: PORT 57 LUCIE Zip: � — Phone: Zip: phone � Not Applicable BONDING COMPANY: Not Applicable FEE SIMPLE TITLE HOLDER: Name: Name: Address: AddreSS:275o SW EDGARCE ST City. City: Zip' Phone: Zip: Phone: � _�— R AFFIDVIT: Application is hereby mad to a pepmimit t© do the work and installation as indicated. OWNER/ CONTRACTO I certify that no work or installation has commenced prior St. Lucie County makes no reapresei blelHome ownerstAssociation rules, bylaws or and covenants that maydrthe trlct or prohibit such which is in conflict with any pp licastructure. Please consult with your Home Owners Association IIdO� he hereby agree that a will, in all respects, perform he wny restrictions which may ork apply k In consideration of the granting of this requested permit, in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. oing a full ncurrency review: room The fallowing building wipermitswimming applications fences, walls, signs, screen grooms and aoccessory uses to another non-residential use accessory structures, swimml g p in twice for WARNING TO OWNER: Your failure to Record of Commencementmustmus be recorded aencement may tnd posted on�the jobsite improvements to you property. before the first inspection. if you intend t oobtaince financing, c t,sult with lender or an attorney before nnrnmencina work or recording•u Signature of Owner/ Les e/C ctor �Agent for owner STATE OF FLORIDA COUNTY OFA The forgoing instrument was acknowledged before me this�7n;_ day of =-A-LI am - � 2oj_&- by Name of person making statement Personally Known v-" OR Produced Identification Type of identification Produced (signature of Notary Public- State of Florida ) Commis p •*ANIEL F STACEY P'A id REVIE bwr►o olElONI su' COUNTER I REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Signature of Contr ctorj ie rise Ho er STATE OF FLORIDA t COUNTY OF The forgoing instrument was acknowledged before me this day of ►.cA -4 201�by Name of person making statement Personally Known OR Produced Identification Type of Identification Produced �1 (Signature of Natary Pt�ie- state of Florida J CommlSSlo 7D �L F StAlMy :x 4,1a' �.;t:1P.lISSION *FF081098 JPERVISOR I PLANS I c. GROVE REVIEW 1 REVIEW REVIEW REVIEW REVIEW