HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r)ata• 05/28/2019
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential x
PERMITTYPE:HVAC change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 4610 Seagrape Dr
Property Tax ID #: 340260800580000
Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 4 ton system with;
Goodman 4 ton 16.0 seer w/10kw heat
Models GSXC16048 & AVPTC48C
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4700.00 Utilities: —Sewer —Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name James Waska Name: I R� x I L
Address:LJC
4610 Seagrape Dr p y:Trac
Com an Y teele Air Cond, Inc
City: Ft Pierce State: _ Address:2750 SW Edgarce St
Zip Code: 349$2 Fax: City: Port St Lucie State: FI
Phone No.772/489/6779 Zip Code: 34953 Fax:
E-Mail: Phone No772-336-2448
Fill in fee simple Title Holder on next page ( if different E-Mailtdsac@aal.com
from the Owner listed above) State or County License CAC035553
If value of construction is 0;nn ew mnre n arrnoncn n1,.•:,
• ---- -- -•-•� •- ••�+•.......�v +.vala.c ui bU111111C116CITWnL is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM�ANTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: _ __
Address:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Nat Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
[]WNFR/ r`n�urQerTno nerrnarrr. .
Zip: Phone:
--•- • -- • .— r , Mjipmi cjuun is hereby maoe 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 Horne 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 Owner/ 'Lesse Contractor as Agent for Owner Signature of Contract�rL4cense Holder
�.
STATE OF FLORIDA STATE OF FLORIDA -�-
COUNTY OF % COUNTY OF t cj
The for omg instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of t , ;_ Zp!1 by this day of 20 "? by
Name of persorr'making statement. Name of person -making statement.
Personally Known __V'OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature oyMr�Ubl�till«I�ridrfi (Signature of Notary Public- State of Florida j
. `F. Daniel F Stacey
Commission - Mycommiss+onGGa s
22J2o22( P'' Commissi}! 141 ruExiic ����eal
aniel F Stacey
+ My Commission GG 25lea
or n
REVIEWS FRONT ZONING SUPERVISOR PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED.
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