HomeMy WebLinkAboutGarcia app - 205 Hartman Rd, FPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d Permit Number:
=4
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 a�
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 205 Hartman Rd.
Legal Description. 7 35 40 S 39.3 FT OF W 282.50 FTOF E 307.5 FT OF NE 114 OF SE 114 AND N 175 FT OF
S 214.3 FT OF W 330 FT OF E 355 FT OF NE 114 OF SE 114 -LESS RD R/W- (1.58 AC)
Property Tax ID ##: 2407-414-0003-000-7 Lot No._
Site Plan Name: Block No.
Project Name: Garcia Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Rheem 5.0 ton 16 SEER with 10kw electric heat
CONSTRUCTION INFORMATION:
AClaitional worK to MGas
orrne unrrnrt — c ec a app y:
HVAC Tank OGas Piping DGenerator
Shutters Windows/Doors
Electric ®Plumbing Sprinklers Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4950.00
OWNER/LESSEE:
Name Patricia Garcia & Santos Garcia Corona
Address: 205 Hatrman Rd.
S Ft. of First
[Floor: lo _
Utilities:USewer L_JSeptic
City: Ft. Pierce State: FL
Zip Code: 34947 Fax:
Phone No. 772-200-6911
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name. Jacques Stiegelman
Company: Jack Frost AC of South Florida, Inc.
Address: 1716 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: (772) 336-9032
Phone No. (772) 336-9030
E -Mail: jackfrostflorida@aol.com
State or County License: CAC1815725
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION:
Signature of Owner/ Lessee/Contractor as Agent for Owner
DESIGNER/ENGINEER: V Not Applicable
MORTGAGE COMPANY:NotApplicable
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: 1716 SW Biftmom St.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
MAIN zrj / rnniro A rrno A rrlr%l /ET.
Commission No. (Seal)
— -- —• ----• - • • — UIL. V i.. application is hereby mase 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 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 attorne before
commencing work or recording our Notice of Commencement. y
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF G c -
The forgoing instrument was acknowledged before me
this day of
Thef ming instru ent was acknowledged before me
20_ by
this day of r 20 1'9 by
J-acg(Aes rh e dman
Name of person making statement
Personally Known OR Produced Identification
Na of persq�rrrnakirkgltatement
Personally Known OR Produced Identification
Type of identification
Type of Identification
Produced
e
{Signature of Notary Public- State of Florida)
4(Satucreof Notary Public -'State of Florida
Commission No. (Seal)
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17