HomeMy WebLinkAboutBuilding Permit Application Aug 0718, 16:39 Air Temp Air Conditioning 772812907 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 851/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Reguiation Division
2300 Virginia Avenue,Fort Pierre FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical fl
PROPOSED IMPROVEMENT LOCATION:
Address: 7321 Commercial Circle, Fort Pierce , FL 34951
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK-UNIT ONE-BLK C LOT 1 (0.99AC)(OR 2273-1062)
Property Tax ID#: 1335-801-0028-000-3 Lot No. 1
Site Plan Name: Block No. C
Project Name:
Setbacks Front Back: Right Side: Left Side:
f DETAILED DESCRIPTION OF WORK:
Commercial AC Change Out, Install American Standard 7.5 Ton,10 KW Heater,LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters a Windows/Doors
aElectric ID Plumbing Sprinklers 11 Generator Roof Roof patch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8,000.00 Utilities: Ln]Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Unifirst Corporation Name: Kelly Certosimo
Address-7321 Commercial CircleCompany:Air Temp Air Conditioning, Inc.
City: Fort Pierce State:FIL Address: 651 NW Enterprise Drive Suite#107
Zip Code: 34951 Fax: City: Port Saint Lucie State:PL
Phone No.772-464-3911 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-340-0740
Fill in fee simple Title Holder on next page(if different E-Mail: airtempac@yahoo.com
from the Owner listed above) I State or County License: CAG1814837
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Aug 07 18, 16:39 Air Temp Air Conditioning 772812907 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: _'Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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's 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 recordingour.Notice of Commencement.
Azff ",,
Signature of Owner Lessee/Contractor as Agent for Owner Signature of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORID '
COUNTY OF U 1 l COUNTY OF �T
The fo going in ument was ackn wledge fore me The f rgoing instrument was acknowledged before me
this day 20L�y this day of 20 1 by
Nam of p r making statement ame of rs ta makino sment
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati n Type of Identificatio
Produced Produc
4�4I L", )1,1�
1�,b �0 I La-,—
(Si
ure of Notary Pub c-State of Florida 1 (Signature of Notary Public-State of Florida)
State of Florida ^"��a Nota
�" Commission No. c Slate of
Co t ion No. r,� jonna Mahan -ath rme na Mahan
omm esron GG 176881 n/ y,` I
t l �� a a ras T 1812022 (l� S CY] I! RY`O�� R 22 t7D8gt
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2117