HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 7302 SANTA ROSA PARKWAY - 02-25-2019All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/25/2019 Permit Number:
isle—Jim
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
0
PERMIT TYPE: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
oA,IrP«. 7302 Santa Rosa Parkway, Fort Pierce, FL 34951
Property Tax ID #: 1301-604-0219-000-9
Site Plan Name:
Project Name: A/C Change out
Lot No. 15
Block No. 39
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 4 Ton 16 SEER with 10KW Electric Heater
for residential property.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
XMechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: -
Cost of Construction: $ 4779
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Corbett
Name: Freddy Guillemi
Address: 7302 Santa Rosa Parkway
Company: Indoor Air Care, Inc.
Fort Pierce State:
City: F�1--
Zip Code: 34951 Fax:
Phone No. (772)532-8367
Address: 1934 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 344984 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 CAC 1816063
If value of construction is $2500 or more, a RECORDED Nonce of Lornmencement is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
City:
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
rnmmanrina %ernrle nr rarnrriinp xmiir Nnticp of CnmmenC.ement.
Rev.9/26/18
Signature of Owner ss r ctor as Agent for Owner
Signature of tactor/L' se Holder
STATE OF FLORIDA
STATE OF FL RIDA
COUNTY OF SAINT LUCIE _
COUNTY OF SAINT LUCIE
The for??i' instrument was acknowledged before me
this - , Iay of FEBRUARY 201 by
The forgiing instrument was acknowledged before me
this aay of FEBRUARY 20' by
LIZETTE SOLOMON
LIZETTE SOLOMON
Name of person making statement,
Namerson making statement.
Personally Known x OR Produced Identification
Personally Known _ x —OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced_
Sig ature of Notary Public- S
a lorida 41ZETTE SOLOMON
( natur of Notary Public- St rida)SOLOMON
= ` .. ' n MY COMMISSION #GG211369
r°`o MY COMMISSION #GG211369
Commission No. GG211369
((Y8�ES: APR 25, 2022
Commission No. GG211369 r1j�S: APR 25, 2022
°P Born% t gh 1st State Insurance
" Bonded through 1st State Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18