HomeMy WebLinkAboutMorgan County Permit ALL APPLICABLE INFO MUST BE COMP ECED FOR APPLICATION TO BE ACCEPTED
Date: 08/2/2018 Permit Number:
uilding Permit Application
Planning and UevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498
Phone: (772)462-1553 Fax:(772)4s 1578 Commercial Residential X -
PERMIT APPLICATION FOR: Me hanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9144 Pumpkin Ridge, Port Sai t Lucie, FL 34986
Legal Description: MAIDSTONE(PB 43- 1) LOT 11 (OR 4055-1023)
Property Tax ID#: 3322-505-0020-00 --4 Lot No.11
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WO K:
AC Change Out, Install Rheem 3.5 Ton 16 Seer, 1OKW Heater, S/C Split System LIKE FOR LIKE
-CONSTRUCTION INFORMATION
Additionalwor to e e orme un e t is permit—check a apply:
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing E]Sprinklers Generator F Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5,000,00 I Utilities:�Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David L. Morgan Name: Kelly Certosirno
Address:9144 Pumpkin Ridge Company: Air Temp Air Conditioning, Inc.
City: Port Saint Lucie State:FL Address: 651 NW Enterprise Drive Suite##107
Zip Code: 34986 Fax: City: Port Saint Lucie State:FL
Phone No.708-259-8958 Zip Code: 34986 Fax: 772-281-2907
E-Mail: Phone No. 772-340-0740
Fill in fee simple Title Holder on next pa e(if different E-Mail: airtempac@yahoo.com
from the Owner listed above) State or County License: CAC1814837
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if value of construction is$2500 or more,a ECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: _—
City: City:
Zip: Phone: Zip: Phone:
OWN--RI CONTRACTOR AFFIDVIT:Ap lication is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has com enced prior to the issuance of a permit.
St. Lucie County makes no representation th t 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 O ners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this reque ted permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the F orida Building Codes and St.Lucie County Amendments.
The following building permit applications ar exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences walls,signs,screen rooms and accessory uses to another non-residentiai use
WARNING TO OWNER:Your failure to ecord a Notice of Commencement may result in your paying twice for
improvements to your property. A No ice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you inte d to obtain financing, consult with lender or an attorney before
commencing work or recording our owce of Commencement.
z�
Signature of Owner essee/Contractor as A ent for Owner Signature of Conti ctor License Holder
STATE OF FLORIDA J STATE OF FLORIDA
COUNTY OF COUNTY OF C i ()
The fc?r ing instru en'was acknowledge efore me The forgoing instru sne t was acknowledged }efore me
this day of 20 by this i� day of 20���5'"'by
� V'
Name of perso making statement —� Name�f person making statement
Personally Known OR Produced Isle tification Personally Known._ ._OR Produced Identification
Type of Identificat n Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Not P lie-State o Florida p
J ,
Commission No. s( (Sea) Commission No. -a heir(>r-sree°faro.
Or my cot
Gonna Mah
RE men"
rlr- tat eZOWNG SUPERVISOR PLANS VE6ETATIQN SEA TURTL OVE
k n W REVIEW REVIEW REVIEW REVIEW REVIEW
DAT 8tZ�2
REC I
DATE
COMPLETED
Rev.8/2/17