HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 05/28/2019 Permit Number:
o
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: HVAC Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 7907 Plantation Lakes Dr, Port St Lucie
Property Tax ID #: 332180100650007
Site Plan Name:
Project Name:
Commercial Residential X
❑ETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with Ruud 2.5 ton 16.0 seer w/7kw heat
Models RA1630 & RH1T3617
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
w Electric _ Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4600.00
Lot No.
Block No.
Windows/Doors
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Arthur Eskola Name:
Address:7907 Plantation Lakes fir Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: Address:2750 SW Edgarce St
Zip Code: 34986 Fax: City. Port St Lucie State: FI
Phone No.203-430-4250 Zip Code: 34953 Fax: 772-336-4171
E-Mail: Phone No772-336-2448
Fill in fee simple Title Holder on next page ( if different E-Mailtdsac@aol.com
from the Owner listed above) State or County License CAC035553
If vnl„o of :_ 6-Meer{
irUk L.c UI 6VMMIFFIVFluemeni Is requlrea.
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:
^%AJR1En 1 r1,f%K rr__ ..
"VV rrF-nl %.vrr I ntu.I UK HrrIvvI 1 : 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
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."
Signature of O n r essee/ ontractor as Agent for Owner Signature of Cont actor/L ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z� day of f;i.'.:' 20 by this ! day of 20 ' ^ by
Name of person rr4king statement. Name of per n making statement.
Personally Known _�Z_ OR Produced Identification Personally Known 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 ]
Commission No. XRUVIEW
1.rida Commissio o ea )
Danstate of Flo ida
My 1653 Daniel F Stacey
or a xpExpires B122f2022
REVIEWS ISOR PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED