HomeMy WebLinkAboutPERMIT APPLICATION - 5506 RAINTREE TRAIL - 08-15-2018ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/15/2018 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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5506 RAINTREE TRAIL, FORT PIERCE, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT -09- BLK 74 LOT 2 (MAP 34/11 N)
(OR 902-1534: 1004-1706: 1632-198)
Property Tax ID #: 3402-610-0120-000-3 Lot No._
Site Plan Name: Block No.
Project Name: A/C CHANGE OUT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE OLD 3.5 TONS AIR CONDITIONING SYSTEM AND INSTALL NEW CARRIER 3.5 TONS 16 SEER AC SYSTEM WITH 10 KW
ELECTRIC HEATER FOR RESIDENTIAL PROPERTY.
CONSTRUCTION INFORMATION:
Additional work to be
performed under this permit — check all apply:
HVAC L _J Gas Tank F]Gas Piping _ Shutters a Windows/Doors
Electric Plumbing F]Sprinklers 1:1 Generator FI Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4112 Utilities: 0 Sewer 7 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOSEPH BROWN
Name: FREDDY GUILLEMI
Address: 5506 RAINTREE TRAIL
Company: INDOOR AIR CARE, INC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (772)468-4818
Address: 1934 SW BILTMORE ST
City: PORT ST. LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. (772)873-5003
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: INDOORAIRCARE@ATT.NET
State or County License: CAC1816063
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 Count 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
commencing work or recording your Notice of Commencement.
Signature er Lesse C ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this 15TH day of AUGUST _, 20 18 by
FREDDY GUILLEMI
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
Y P LIZETTE SOLOMON
( igna ure Notary Public- t:a of ffliISSION #GG211369
IES: APR 25, 2022
Commission No.
GG211369 � L Bon"AgIgh 1st State Insurance
actor/ILicdnse Holder
STATE OF FLORIDA/
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this 15TH day of AUGUST , 20 PF by
FREDDY GUILLEMI
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
�.,,,..y LIZETTE SOLOMON
( ign re Notary Public- St e' p ' a SION #GG211369
PIRES: APR 25, 2022
°FRC So ed tr ugh 1st State Insurance
Commission No. GG211369
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17