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HomeMy WebLinkAboutSLC PERMIT WILSON ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/2612018 Permit Number: r Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 X Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 8025 LINKS WAY Legal Description: Property Tax ID#: 332771000100006 Lot No. Block No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace existing 4 ton heat pump with new, Ruud 4 ton 15.0 seer heat pump w110kw heat Models RP1548&RH1T4821 CONSTRUCTION INFORMATION: A ina work to this permMutters_ p y: to RIHVAC eEas Tank ❑Gas Piping Q Windows/Doors Electric F] Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft of First Floor: Cost of Construction:$ 4500.00 Utilities:�Sewer o Septic Building Height: OW N ERAESSE E: CONTRACTOR: NameWILLIAM VOLSON Name: Address:8025 LINKS WAY Company: TRACY D STEELE AIR COND. INC. City: PORT ST LUCIE State: FL Address: 2750 SW ED'GARCE ST Zip Code: 34986 Fax: City: PORT ST LUCIE State: EL Phone No.772-429-2829 Zip Code: 34953 Fax: 772--336-4171 E-Mail: Phone No. 772-215-1974 Fill in fee simple Title Holder on next page(if different E-Mail: tdsac@aol.com from the Owner listed above) State or County License: CAC035553 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: i 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-.2750 SW EDGARCE ST 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 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. 77 Signature of Owner/Lesske/Cq actor as Agent for Owner Signature of Contract /Lice se older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 26 day of OCTOBER 201 tf by this 26 day of OCTOBER 20_)_r by TRACY D STFELE TRACY D STEELE Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced t 0 ftk Notary Public State of Florida Danieff Stacey My mission GG 251653 {Signature of Notary Public-State of Florida) {Sign re of r -c-S F Commiss' Commissi Notary Public State of Florida a Notary Public State of Florida Daniel F Stacey .f Daniel F Stacey My Commission GG 251653My Commission GG 251653 xpires xpirtrsa EV22i2o22 REVIE UPERVISOR PLANS ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17