HomeMy WebLinkAboutMECHANICAL/HVAC RESIDENTIAL- REPLACEMENT SYSTEM ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/14/2018 Permit Number:
rs �GL N RECEIVED
Building Permit Application SEP 14 2018
Planning and Development services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line V G
PROPOSED IMPROVEMENT LOCATION:
Address: 2300 Virginia Ave
Legal Description: Lawnwood-Addition
Property Tax ID#: 2416-504-0770-000/8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Disconnect 2 existing AHU'S and reconnect 2 new AHU'S of the same size.AHU 2&4
CONSTRUCTION 'INFORMATION:
Additional work toe e Orme under this permit—check a appy:
HVAC Ei Gas Tank ❑Gas Piping —Shutters Q Windows/Doors
R1Electric ❑Plumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,100.00 Utilities:Cn Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameST Lucie County Name: John Malanczyn
Address:2300 Virginia Ave Company: Malanczyn Electric, Inc.
City: State:_ Address: 1535 S Niemeyer Circle
Zip Code: Fax: City: PSL State:FL
Phone No. Zip Code: 34952 Fax:
E-Mail: Phone No. 772263.9129
Fill in fee simple Title Holder on next page(if different E-Mail:lmalanczyn@aol.com
from the Owner listed above) State or County License: EC-0001492
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:ST Lucie County Name:John Malanczyn
Address:2300 Virginia Ave Address: 2300 Virginia Ave
City: State: City: PSL State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:1535 S Niemeyer Circle 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 thepermit 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIpA
COUNTY OF Sk. Lv c\� COUNTY OF S
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 �� by this k��day of �2�J 20by
� as r �...,�,� c z y ,� ��,,� rias•,�, czy �
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificat�n
Produced t fly-' Produced
(Signature of Notary t• Mate of Fl iia GG 022023 (Signature
s^ MY Co@dl SIGN# l
ecember16, 020 ,. ......• [D`EANNAMARIE GIVEN f°
Commission No. \ PI �aee lit Undenanters q Commission br°" ^. Y�c MMISSION
p Bonded =~ _ EXPIRES:December 16,2(7.0 '
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Bonded Thru Notary Pub11c Undenvrit��; '�
a.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17