HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/21/2019 Permit Number:
� r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578
Building Permit Application
PERMITTYPE: hvac Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 10661 ORANGE AVE EXT
Property Tax M ##: 230980100010000
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Replace existing 2.5 ton system with Ruud 2.5 ton 16.0 seer wl7kw heat
Models RA1630 & RH1T3617
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical J Gas Tank —Gas Piping _ Shutters Windows/Doors
Electric Plumbing _,,, Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4000.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
NameJef#rey Brown
Address: 10661 Orange Ave Ext
City. Ft Pierce State: L
Zip Code: 34945 Fax:
Phnne No -
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Company:Tracy D Steele Air Cond. Inc.
Address -.2750 SW Edgarce St
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No772-336-2448
E-Mailtdsac@aol.com
State or County LicenseCAC035553
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 the permit holder to build the subject structure
swhich is intructure. covenants t
conflict
lease consult any applicable
Home Owme ners Association and review your bylaws deed or any restrictions :hat which may alprohibit such
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."
Signature of Own
STATE OF FLORIDA
COUNTY OF St Lucie
actor as Agent for Owner
The forgoing instrument was acknowledged before me
this 21 day of May 20 L�_ by
Tracy D Steele
Name of person making statement.
Signature of
STATE OF FLORIDA
COUNTY OF St Lucie
Holder
The forgoing instrument was acknowledged before me
this 21 day of May 20)�L by
Tracy D Steele
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 )
Com
Notary Public State a Florida
y arllei-.�--�JtaY
My Comsnissia GG 251653
REVIEW µoro M1jj0,8t22l2 2�ONING
DATE
RECEIVED
DATE
COMPLETED
(Seal)
Oaniel F Stacey_
SUPERVISOR I E MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW