HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 26 LAKE VISTA TRAIL - UNIT #103 - 03-07-2019 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/07/2019 Permit Number:
•
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 TYPE: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
Address: 26 Lake Vista Trail, Unit#103, Port St. Lucie, FL 34952
Property Tax lD#: 3422-500-0353-000-9 Lot No.
Site Plan Name: Block No.
Project Name: A/C Change out
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 2 Ton 14 SEER with 5 KW Electric Heater
for residential property.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
tMechanical Gas Tank Gas Piping —Shutters Windows/Doors
—Electric Plumbing Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3630 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Harold BuquoiChristopher Corbett Name: Freddy Guillemi
Address: 26 Lake Vista Trail, Unit#103 Company: Indoor Air Care, Inc.
City, Port Saint Lucie State: Address: 1934 SW Biltmore St.
Zip Code: 34952 Fax: City: Port St. Lucie State: FL
Phone No. (772)342-5680 Zip Code: 344984 Fax:
E-Mail: Phone No (772)873-5003
Fill in fee simple Title Holder on next page if different E-Mail indooraircare@att.net
from the Owner listed above) State orCounty License CAC 1816063
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: X Not Applicable MORTGAGE COMPANY: L Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _LNot Applicable
Name: 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 buifd 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 our Notice of Commencement.
Signature of Own ss --e tr ctor as Agent for Owner Signature of ractor/L 4 se Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF SAINT LUCIE _ COUNTY OF SAINT LUCIE
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '``day of I`lU r .V. 20� by this � `F`day of�,/1��_e& 20 by
LIZETTE SOLOMON LIZETTE SOLOMON
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_
L SOLOMON
Sig ature of Notary Public-5 lorida 41ZETTESOLOMON ( natur of Notary Public-St rida
"`'fib MY COMMISSION#GG211369 MY COMMISSION#GG211369
x4lv' C
Commission No. GG211369 (MgES:APR 25,2022 Commission No. GG21136s ,; S:APR 25,2022
"� Bonded through 1st state insurance Bork gh 1st State Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED `
DATE
COMPLETED
Rev.9/26718