HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/30119 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:A/C Unit Change Out
PROPOSED INPROVEMENT LOCATION:
Address: 536 Banana LN Fort Pierce, FI 34983
Property Tax ID #: 3410-503-0284-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 3.5 ton Champion 16 seer heat pump with 5 kw heat.
CONSTRUCTION INFORMATION:
Lot No. 32
Block No. 3
Additional work to be performed under this permit –check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric Plumbing — Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction. _
Cost of Construction: $ 6,500
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR: r.
Name Robert Richter
Name: James Williams
Address: 636 Banana Ln
Company:Above All Air Heating & Cooling
City: Fort Pierce State:
Zip Code: 34983 Fax:
Phone No.
Address:225 SE Prima Vista
City: Port St Lucie State:fl
Zip Code: 34983 Fax.
Phone No 7726217050
E --Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailoftice@aboveallairfl.com
State or County License cac1818977
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
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 recordin your Notice of Commencement.
Sig tui of Owner/ Lessee/Contractor as Agent for Owner
Signa ontractor/Licens older
STATE OF FLO A r
ST FLORIDA.
COUNTY OF t',1 i &4- ! y ..0 l•�
COUNTY OF c —
Thefgsing instrum nt was acknowledged before me
this day
The for ping instrt�tent was acknowledged before me
of 20 11 by
this day of C1 CA'V\_ 2 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known \ �C R Produced Identification
Type of Identification
Type of Identificati
Produced
PrAced
ced
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Expires May 16,2021
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