HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/2012019
Planning and Development Services
Budding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fix: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X EEEErFzftEF%d0A�
PERMITTYPE:HVAC Mechanical AC Change out. LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 7334 Bob O Link WAY , Port Saint Lucie, FL 34986
Property Tax ID #: 3322-505-0055-000-8 Lot No. 46
Site Plan Name: MAIDSTONE (PB 43-11) LOT 46 (OR 2617-2540) Block No.
Project Name: HVAC Change Out, Install New RHEEM 4 Ton 16 Seer 10 KW Heater
DETAILED DESCRIPTION OF WORK:.
AC Change Out, Install RHEEM 4 TON, 16 SE -ER, 10 KW HEATER, Straight Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additions{ work to be performed under this permit— check all that apply:
Jzmechanical _Gas lank _Gas Piping � Shutters
Electric
Plumbing
Total Sq. Ft of construction:
Cost of Construction: $ 43$00-0-0
Sprinklers
Generator
Windows/Doors
Roof Pitch
Sq. Ft, of First Floor:
Utilities: Sewer Septic Building Height:.
OWNER/LESSEE:CONTRACTOR:
Name Jo Ann Sweet Name: Kelly Certosimo
Address: ?334 Bob d Link WAY Company: air `hemp Air Conditioning, Inc.
P -4
city... Port Sint Lucie State: ��.. Address: 651 NW Enterprise Drive Suite# 107
Zip bode: 349$6 fax: City: Porgy Saint Ducie Stade: FL
Phone No.203-326-0754 Zip Code-.- 34986 fax: ?T2 -2$'I -29D7
E -M a't: Phone No 772 -34D -D740
Fill in dee simple Title Holder ars next page [if different E�Mail airtempac[ayahoo,com
from the Owner listed above] State or County License CAC1814837
If value of construction is $250(1 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or mare, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAID! INFORMATION:
DESIGN ER%E�I�GII�EER: Not Applicable, MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
State: City: Sate:City:Phone:
Zip: Phone Zip:
FEE SIMPLE TITLE HOLDER: Not Applicable BANDING COMPANY: Not Applicable
Name:Name:
Address: Address.
City: City:
Zip: Phone: dip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is herby made to obtain a permit to do the work and installation as indicated.
I certify that n work or installation has commenced prior to the issuance of a permit.
ion that is granting rmit will authorize z thepermit holder t build the subject structure
Vit, ��c�Count �s �r�r�t�� �' .� covenants that �; restrict r prohibit such
which is in corgi Ii with a applicable Home Owners Association runes, bylaws or a
structure. Pias consult With your Hone Owners Ass
ociatid r t sur deed for any restrictions which may apply.
ht � will, in all respects, perform the work
in consideration f the granting f this requested permit, i r agree t
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fallowing building permit applications are exempt from undergo -Ing a full concurrency review: roam additions,
accessory structures,swimming pools, fences, walls, signs, screen roams and accessary 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 MUSS" BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
I+MtTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lssee/tontractvr as Agent. for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this ��day of 2q�� by
ame of PeKhn making staternentm
Personally
Known
Type of Identification
Produced
OR Produced identification,
M * 1-2 V� r, 0 TdJA
(si iu-re'orklo'tary bile- State of Florida
irisinNo.sLb (Seal)
Signature of Contractor/ License Folder
STATE OF FLORIDA
COUNTY OF
11
The forgoing instrument was acknowledged before me,
this _��day of 20 1. by
Name ofperson ra ing statement.
I-- -.-Fr
Personally Known rProduced Identification---
Type f Identification
Produced
{Signature ot Notary Nun]ic- state aT rioriaa
w
Commission No. (Seal)
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
DATE
RECEIVED
LATE
COMPLETED
ii^ r
'. I 0 ' obllC state f Fl ra
o
Donna Mahan
kAy 176881
;,
02 2t�
SEA TURTLE
REVIEW
MANGROVE
REVIEW
Notary PUD61State of Florida
14k;i� Cathenne Donna Mahan
5 my commission GG 17688-I_