HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �2
Date: 5/14/19 Permit Number: ,kc�
RECEIVE®
® o � - MAY .1 4 2019
Building Permit Application
Planning and Development Services
ST. Lucie County, Permitting
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
PROPOSED IMPROVEMENT LOCATION:
Address: 12114 Riverbend RD Port Saint Lucie, FL 34984
Property Tax ID#: 4422-502-0018-000-8 Lot No.15
Site Plan Name: Block No.
Project Name: Daniel J Vacca
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT OF(2) RUUD SYSTEMS (A 2 TON WITH A 5 KW 16 SEER&A 3 TON WITH A 10 KW 16 SEER)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
X Mechanical _Gas Tank —Ga s Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 7,569 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Daniel J Vacca Name:GRETA B.SMITH
Address: 12114 Riverbend RD Company:ALL YEAR COOLING& HEATING
City: Port Saint Lucie State: FL Address: 1345 NE 4TH AVE
Zip Code: 34984 Fax: City: FORT LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax:
E-Mail: Phone No 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail VGARCIDUENAS@ALLYEARAC.COM
from the Owner listed above) State or County License CAC058160
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: _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 thepermit 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."
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Si re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-SAINT LUCIE COUNTY OF 13ROWARD
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 14 day of MAY ,20_19 by this 14 day of MAY 20 19 by
Daniel J Vacca GRETA B.SMITH
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced DRIVER'S LICENSE Produced
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(Signature of Notary ubtraof In 1
FJ"o[a�4Lblic Stateof Florida (Signature of Notary P 'c �t{a74 f Wgiowl iic State of Florida
bert James Buckley Robert James Buckley
Commission No. GG oa1xi
�g��sion GG 04015a Commission No. GG 0401s b o My Co�GG 040158
ires 1 11 812029 R F, Expires`YI 020
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