HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/09/2018 Permit Number:
•
Building permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 237 E. EASY ST, FT PIERCE
Legal Description:
Property Tax ID #: 340260400240001
Site Plan Name:
Project Name:
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with new;
Goodman 2.5 ton 15.5 seer straight cool w/51<w heat
Models GSX16030 & ASPT39C
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be er orme under this permit – check all apply:
®HVAC Gas Tank F]Gas Piping _ Shutters Q Windows/Doors
11 Electric ❑ Plumbing O Sprinklers I Generator 1-1 Roof �] Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3500.00
SFt. of First Floor: _
Utilities.Sewer DSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT RULE
Name:
Address: 237 E. EASY ST
Company: TRACY D STEELE AIR CONDITIONING INC
Address: 2750 SW EDGARCE ST
City: FT PIERCE State: FL
Zip Code: 34982 Fax: _
Phone No. 772-979-1063
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax: 772-336-4171
Phone No. 772-215-1974
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
aolcom
E -Mail: tdsac@aot.com
State or County License: CAC035553
IT vaiue OT construction is !�z5uu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
i Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
, BONDING COMPANY: Not Applicable
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 bylaws
rules, 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 Own / LessaWontractor as Agent for Owner
Signature of Co rac /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST L CIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 09 day of NOVEMBER 2011 by
this 09 day of NOVEMBER. 20A by
TRACY D STEELLE
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
Produce
Produced
(Signa r arty IIcSfg of Florida
My Commissure GG 251653
Commi I�Olel Expires06122J2422 ($e
(Signature of Notary Public- State of Florida
commis o �, „r �;tateofF"Se
panni F Stacey
My (�mmission GG 251653
Ex ices 05i 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS.'VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17