HomeMy WebLinkAboutSLC 9415 PinebarkAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/6/19 Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: I
MECHANfCAL
PROPOSED IMPROVEMENT LOCATION:
Address: 9415 PINEBARK COURT
Property Tax ID #: 1327-801-0046-000-0 Lot No.
Site Plan Name: Bloch No.
Project Name: WILLIAM AND KAREN VINCENT
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE HVAC CHANGEOUT
3 TON 8 KW 18 SEER SPLIT SYSTEM
CONSTRUCTION INFORMATION:
AddYeechanical
al work to be performed under this permit —check all that apply:
_ 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: $ 7236-00 Utilities: — Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM AND KAREN VINCENT
Name: FREDERICK MILLER
Address: 9415 PINEBARK COURT
Company: MILLER'S CENTRAL AIR. INC
City: FT PIERCE State:
Zip Code: 34951 Fax:
Phone No. 772-475-3026
Address: 20 W INTER LAKE BLVD
City: LAKE PLACID State: FL
Zip Code: 33852 Fax:
Phone No 772-785-8080
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above]
E-Mail OFFICE@MILLERSCENTRALAIR.COM
State or County License CAC058675
If value of construction is $2540 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 I MORTGAGE COMPANY:
Name:_
Address:
City:
Zip: —
Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
zip:
Phone:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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
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. F-1YOU� INTEND TO OBTAIN FINANCING, CONSULT
WIT"/MUR LENDER OR AN ATTORNEY BEFORE RECORDING ❑ P iucirf j_F nr Cf mmi;:m FMFN7 -
tgnat f wner/ Lessee/Contractor as Agent for Owner
Sig ' ure f Contractors ense Holder
TATE OF FLORIDA
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STATE OF FLORIDAC
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