HomeMy WebLinkAboutbuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/12/2018 Permit Number:
0
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: 0132 PUMPKIN RIDGE RD
Legal Description:
Property Tax I D #: 332250500170000
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
Replace existing 4 ton heat pump with new;
Goodman 4 ton 16.0 seer heat pump w/10 kw heat
Models GSZ16048 & ASPT49D
Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit —check a appy:
HVAC Gas Tank I]Gas Piping Shutters a Windows/Doors
FElectric Plumbing Sprinklers I Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
S Ft. of First Floor:
Utilities:cnsewer 0Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name' CHRISTOPHER DREW
Name:
Address:9132 PUMPKIN RIDGE RD
Company: TRACY D STEELE AIR COND. INC
City: POORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 516-404-2085
Address: 3750 SW EDGARCE ST
City: PORT ST LUCIE State: EL
Zip Code: 34953 Fax: 772-336-2448
Phone No. 772-215-1974
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above}
E -Mail: tdsac@aol.com
State or Count License: CAC035553
Y
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name.-
ame:Address:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress:375G SW EDGARCE 5T
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.
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
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DATE
COMPLETED
Rev. 8/2/17
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Signature of Owner/ Less e/ ontractor as Agent for Owner
Signature of Contr ctor/L e e Holder
STATE OF FLORIDA
STATE OF FLORIDA—
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COUNTY OF i� I L–
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COUNTY OF L.)t
The for oing instrument was acknowledged before me
The forgoing ins ument was acknowledged before me
'�- by
this day of 20k'�- by
this I day of 20,
DK�.l-�-t -t� r(
Name -df person making statement
Personally Known Z ,_, OR Produced Identification
Name dt person making statement
Personally Known _%e!!!� OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- State of Florida }
(Signature of Notary Public- State of Florida)
Commissi
fFipriedal
Daniel F &
r i ion ri s {Seal)
Daniel F Stacey
Zocn'IGY
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REVIEWS
FRO T
UPERVISOR
PLANS
VEGETA
S RILE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
[TATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17