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HomeMy WebLinkAboutBuilding Permit ApplionAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION #O BE ACCEPTED Date: 04/10/2019 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 PERMITTYPE: hvav change -out PROPOSED IMPROVEMENT LOCATION: Address: 12050 Twin Creeks Dr, Ft Pierce 34945 Property Tax ID #: Site Plan Name: Project Name: Commercial Residential X DETAILED DESCRIPTION OF WORK: Replace existing 5 ton system with, Goodman 5 ton 16.0 seer straight cool w/10kw heat Models GSX16060 & ASPT61 D CONSTRUCTION INFORMATION: Lot No. Block No. 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: $ 4000.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: ©WNERAESSEE: CONTRACTOR: Name Adam Troska Name: Address: 12050 Twin Creeks Dr Company:Tracy D Steele Air Conditioning inc City: Ft Pierce Stater Zip Code: 34945 Fax: Phone No. 7724686605 Address: 2750 SW Edgarce St City: Port St Lucie State: FI Zip Code: 34953 Fax: 772-336-4171 Phone No772-215-1974 E -Mail: Fill in fee simple Title Molder on next page ( if different from the Owner listed above) E-Mailtdsac@aol.com State or County License CAC035553 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. if value of MVAC 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. 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 JOS 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 STATE OF FLORIDA COUNTY OF ST LUCIE as Agent for Owner f Signature of Cgfitra4orAicense Holder STATE OF FLORIDA COUNTY OF ST Lucy The forgoing instrument was acknowledgedbefore me The forgoing instrument was acknowledged before me this ` day of _ 20_ by this day of 20 by TRACY D STEELE TRACY D STEELE 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 (Signature of Notary Public- State of Florida) {Signature of Notary Public- State of Florida } Commissi e Com i sio o. eai) .4p o ry u rt 74,1,f Florida oV�T �4� o ary a he tateof Florida Dnil FStac? Daniel F Stacey 'bt A, Expires nal 2!2022 V ires 0812212 22 REVIEW PERVISOR P L MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED