HomeMy WebLinkAboutBuilding Permit Application 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 3/27/19 Permit Number: 1 6,5017
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Planning and Development Services 20
Building and Code Regulation Division Pe/Mitt"
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2300 Virginia Avenue,Fort Pierce FL 34982 •St Lucl�C U ty int
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 237 Del Monte St. Fort Pierce, FL 34946
Property Tax ID#: 1416-601-0075-0104 Lot No. 1
Site Plan Name: Block No.
Project Name:
'DETAILED DESCRIPTION OF WORK
Replacement of a 3 ton packaged heat pump with 7 kW electric heat; 14 SEER; like for like
CONSTRUCTION INFORMATION:
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: Sq. Ft.of First Floor:
Cost of Construction:$ 5200 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR `.
Name Joan Lundy I Name:James Wauters
Address:237 Del Monte St Company:Just Chillin' HVAC LLC
II
City: Fort Pierce, FL • State: Address:5422 NW Cromey St. i'
Zip Code:.34946 Fax: City: Port St. Lucie State:FL II
Phone NO.772-233-5664 Zip Code: -34986 Fax:
E-Mail: Phone No 772-940-4373
Fill in fee simple Title Holder on next page(if different E-Mail justchillinair@hotmail.com I
from the Owner listed above) State or County License CAC1819351
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not 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 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 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."
ge/h-Lea- e(1 aR%i /mow .�Signe of Own r/Lessee/Contractor as Agent for Owner Si nature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA)-
COUNTY OF $4 u(A.CU_ COUNTY OF
The forgoing instrument a acknowledged before me The f_pr;e9ing instrument as acknowledged before me
this 9�dby of fl ,2019/ by this day of, ,20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificatiory�
Produced Produced/
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(Signature of N. 'y� H �� Stal �`lll$ 1 G H N (Signature of N. , •' Sate of Florida) Qthi
.paili`ar'� State of Florida-Notary Public ELLEN V
Commission No. _ '' a Cbmrnleeler{9de6k� 270079 Commission No ;�%�'sStArA
go``: b Cdfi9Hil�§Ibri ER ilfd� o.1'_ng f Florida-N'o`taa Public
f;PA �`N Oetebf�r.§ X82 ,�. i,i ,o,, Commission # GG 270079
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION" - ' : ° '�.OVE
COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW
DATE
RECEIVED
DATE -
COMPLETED
rev.2/7/19