HomeMy WebLinkAboutGuild - 306 Holly Ave, PSL - CorrectedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r
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 xx
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: Holly Ave, Port St. Lucie 34952
Legal Description: RIVER PARK -UNIT 2- BLK 19 LOT 26(MAP 34/22S) (OR 490-008: 766-1155: 2962-1918)
Property Tax ID #: 3419-510-0257-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Rheem 2.5 ton 16.0 SEER with 7kw electric heat
Condenser Model RA1430AJ1 Air Handler Model RBHP-21J07SH2
Lot No. 26
Block No. 19
CONSTRUCTION INFORMATION:
Additionalwor to e er orme un er t rs permit — c ec a app y:
[1HVAC Gas Tank Gas Piping Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $3800.00
OWNER/LESSEE:
Name Constance J Guild
A,1dr.,,_ 306 Holly Ave
S Ft. of First Floor: _
Utilities: Sewer — Septic
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phnn,- No_ 772-807-2886
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name. Wanda Gahn
Building Height:
Company: AC Buddy, Inc.
Address: 3746 Seminole Rd.
Citv: Fort Pierce
Zip Code: 34951 Fax:
Phone No_ (772) 480-4136
F-Mail. acbuddyinc@gmail.com
State or County License: CAC1818909
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx 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 inuicateu.
I certify that no work or installation has commenced prior to the issuance of a permit.
5t. 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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.cuae COUNTY OF st—cle
The for mg instrument was acknowledge before me The far ing instru nt was acknowledged,hefore me
this for
of 20� by this JMlay of 20 by
Wanda Gahn Wanda Gahn
Name of perso5.Aaking statement Name of person making statement
Personally Known OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of I entification
Produce Produced NiA
ZI el
(Si n tore of Notary Public- State of Florida) (Sig ure of Notary Publi- �IatR% Florida J
itnstina R. Parsons a�pky ns tna arsons
��STRY q o �' NOTARY PUBLIC
Commission No. ��(g`LQ�}AIRY PUBLIC Commission a _ F FLORI8�§eal)
STATE OF FLORIDA
m GG494836 y = Comm# GG090836
Com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17