HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/19/2018 Permit Number:
•
i
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: 128 SE PRIMA VISTA BLVD., PORT ST. LUCIE, FL
Legal Description: RIVER PARK -UNIT 5_BLK 50 W 40 FTOF LOT 11 AND E 40 FT OF LOT 12 (PARCEL G)
(MAP 34/28N) (OR 3413-1730)
Property Tax ID #: 3419-540-0235-000-0
Site Plan Name:
Project Name: A/C CHANGE OUT
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK_
REMOVE OLD AIR CONDITIONING UNITE AND INSTALL NEW AIR SYSTEM GOODMAN 2.5 TONS 16 SEER WITH 5 KW EKECTRIC
HEATER FOR RESIDENTIAL PROPERTY.
CONSTRUCTION INFORMATION:
Additional work to be r)erformed under t is permit — c ec athat apply:
21 HVAC Gas Tank F]Gas Piping _ Shutters Q Windows/Doors
11 Electric Plumbing 11 Sprinklers F� Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3343
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KARINA VARGAS
Name: FREDDY GUILLEMI
Company: INDOOR AIR CARE, INC.
Address: 128 SE PRIMA VISTA BLVD.
City: PORT ST. LUCIE State: FL
Zip Code: 34983 Fax:
Phone No. (772)333-1099
Address: 1934 SW BUILTMORE 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:
Name:
Address:
City:
Zip: Phone
Not Applicable
State:
MORTGAGE COMPANY:
Name:
(X Not Applicable
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address: 1934 SW BUILTMORE ST
City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
)LNot Applicable
Address:
COUNTYOF SAINTLUCIE
City:
The forgoing instrument was acknowledged before me
Zip: Phone:
this 19TH day of NOVEMBER 20�� by
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 your Notice of Commencement.
Rev. 8/2/17
G-
Signature-. Owner/ -1 'ee/Contractor as Agent for Owner
Si Holder
_--ontractorhicense
STATE O( FLORID
STATE OF FLOR dD
COUNTYOF SAINTLUCIE
COUNTYOF SAINTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 19TH day of NOVEMBER _ 20 by
this 19TH day of NOVEMBER 20�� by
FREDDY GUILLEMI
FREDDY GUILLEMI
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
(SiiiZz tur Not Publi
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MY C�MI$SION #GG211369
Commission No.
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Commission No. GG211369 EX �1PR 25, 2022
2022
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PLANS
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REVIEW
REVIEW
REVIEW
DATE
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DATE
COMPLETED
Rev. 8/2/17