HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02115/2019 Permit Number:
16"s 6 W -d Ad M
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: HVAC
PROPOSED IMPROVEMENT LOCATION:
Address: 0017 HOUNDSLAKE CT, PORT ST LUCIE, FL 34986
Property Tax ID #:
332250501170001 Lot No.
Block No.
Site Plan name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton heat pump with new Ruud 5 ton 15.0 seer heat pump- Models RP1560 & RH1T6024
10 8 t � I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
/Mechanical _ Gas Tank _ Gas Piping ^ Shutters
Electric — Plumbing — Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
OWNER/LESSEE:
Name IVAN BENITEZ
Sq. Ft. of First Floor:
Utilities. _Sewer _Septic
Address:9017 HOUNDS LAKE CT
City: PORT ST LUCIE State: r—
Zip Code: 34986 Fax:
Phone No. 305-815-1783
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Windows/Doors
Roof Pitch
Building Height:
Name:
TRACY D STEELE AIR CONDITIONING INC
Company:
Address-2750 SW EDGARGE ST
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax:
Phone No 772121511974
E-Mailtdsac@aol.com
State or County License CAC035553
if value of construction is $2500 ormore, 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:_
Address:
City:
Zip:
Pho
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:
Zip:
�•Tii3+
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
rity.
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFADVIT: 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..
w Lucie County conflict
makes no representationppHome Owners Ass'oclati ons ruwill iesabylaws or ize and covenants that maydrestrictbor pectrohibit such
which is in conflict with any app
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appy.
In consideration of the granting of this requested permit, 1 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner) esse / ntractor as Agent for Owner Signature o�Contrac r icen Bolder
STATE OF FLORIDA STATE OF FLORID - n . �.
COUNTY OF_ ; 3T °-� 7 s COUNTY OF [ � L'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of � 20A4 by this day of y
LW
Name of perso aking statement.
Marne of peAon making statement.
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced
Produced
(Signature of Notary Public_ State of Florida j
{Signature of Notary Public- State of Florida ]
Commiss n1� Com
��u rC�tate of Flo 9dea
tacey
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REVIE UPERVISOR PLA
COUNTER REVIEW REVIEW REVI
DATE
RECEIVED
DATE
COMPLETED
p eryu. is a e of Fiords
Daniel F Stacey
MANGROVE
REVIEW