HomeMy WebLinkAboutBuilding Permit Application 05/31/2019 02:10PM 7724612036 Steve Smith A/C PAGE, 02/03
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
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Date: .62- "7�., d 9 Permit Number: (
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Building Permit Application Qepartment
Planning and Development Services PerSt.
Lucie,coon ty
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE:HVAC Equipment ChangeOut
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Address: 5022 Feeder Road
Property Tax ID#: 1301-615-0207-0006 Lot No.12
Site Plan Name: Block No. 178
Project Name: -
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Like for like AC replacement
Champion 5Ton 14SEER, Straight Cool with 10kw Electric Heat
Condenser Model#TC4B6021 / Air Handler Model#AV6OCX22
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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'
1,424
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,000
Utilities:
Utilities�;.) Sewer Sep{tlC B
uild4 in.I�g Height:
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Name Juanita Gunther Name:Steve Smith
Address:792 Bent Creek Drive Company:Steve Smith Air Conditioning
City: Fort Pierce State: : Address:8001 Eden Road �I
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No.772-489-9411 Zip Code:34951 Fax: 772-461-2036
E-Mail: Phone No772-461-1425
Fill in fee simple Title Holder on next page(if different E-Mailstevesmithac@aoIcom
from the Owner listed above) State or County License CACI 813454
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.
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06/03/2019 07:29AM 7724612036 Steve Smith A/C PAGE 03/03
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Not Applicable '
__....
Name: Name:
Address: Address:
City: State: City: State:
lip: Phone Zip: Phone:_
FEE
—
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.Lode County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 T•E JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y' • ' END 2 -,R • ATTORNEY BEFORE RECORDING YOUR NOTIC c COMMENCEMENT?'
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA/ , ,Ip
COUNTY OF " As 6 COUNTY OF \„t_j_,La.) ,P
The forgoing instrument was acknowledged before me The forging instrument was acknowledged before me
this 141.gd ay of_MengI.Ak .20 11 by this 3 Pli-clay of ill(44,._ ,20,1_ by
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••••T&vG ) nA4 __________ S it ue , Sr,,_ 4
Name of person making statement. Name of person making statement.
personally Known OR Produced IdentlficatiOn )E Personally Known OR Produced Identification %)e.'
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Type of Identification 0 Type of Identification
Produced D e-ty 0._ Li c e--,5 e Produced Ft- D (.....
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digke of' ota Public- te of Florid. .‘, chrIstopherJ,Fixam nature thary Public-State o Flo 4,0,
:..; Stephanie Moure
,.., ,..„--,•I NOTARY PUBLIC .....,Coil NOTARY PUBLIC
Commission No. rGr 17-1-15 ::rer, . STATE OF=-0134PRvisslon No. F '9,5-73F / g tr;, .:- )sTATE OF FLORIDA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE ,.
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COMPLETED I
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