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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: loiiol iq Permit Number: County F LOR I DA 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 PERMITTYPE: MECHANICAL/HVAC RESIDENTIAL REPLACEMENT SYSTEM PROPOSED IMPROVEMENT LOCATION: Address: 7012 MAIDSTONE DR, PORT SAINT LUCIE, FL 34986 Property Tax ID #: 'ISSSSS Parcel ID: 3322-505-0123-000-6 Lot No.114 Site Plan Name: MAIDSTONE (PB 43-11) LOT 114 (OR 4121-1420) Project Name: ARTINIAC CHANGE OUT Block No. DETAILED DESCRIPTION OF WORK: AIR CONDITIONING REPLACEMENT FOR LIKE FOR LIKE SYSTEM FOR RESIDENTIAL BUILDING. NO DUCT REPLACEMENT. INSTALLING 5 TON 15 SEER LENNOX SPLIT SYSTEM. CONDENSER UNIT MODEL #14ACX-Q59-230 AND AIR HANDLER UNIT MODEL #CBA25UHV-060-230 WITH 10 KW HEATER. RESEALED EXISTING DUCTWORK. AHRI CERTIFICATE #202540536 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: Utilities: Sewer Septic Building Height:Cost of Construction: $ 00 OWNER/LESSEE:CONTRACTOR: Name ADRIAN MARTINI Name: ROBERT P CAMPBELL JR Address: 7012 MAIDSTONE Comoanv: BUILDING TECHNOLOGY SERVICES INC Citv: PORT SAINT LUCIE State:Address: 1320 BUCKINGHAM AVE Zip Code: 34986 Fax:Citv: WELLINGTON state: FL Phone No. 315-380-6396 Zio Code: 33414 pgx: N/A E-Mail: AVA.SPUR@YAHOO.COM Phone No 772-341-5714 Fill In fee simple Title Holder on next page (if different from the Owner listed above] E-Mail ENGLAND.DANIELR2@GMAIL.COM State or Countv License CAC058685 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 Name: MORTGAGE COMPANY: Not Applicable Name: Address:Address: City: State:Citv: State: Zip: Phone Zio: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address:Address: Citv:Citv: Zio: Phone:Zip: Phone: OWNER/ CONTRAaOR 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 wiil authorize the permit hoider 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 wiil, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The foiiowing buiiding 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/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA . . COUNTY oF_cr\a£±i£L The forgoing instrument was acknowiedged before me this"g>> davof , 20 by AACiOn AiC4\r\i Name of person making statement. Personally Known Type of Identification Produced . OR Produced Identification K (Signature of biic- State of Florida ) Commission No fsfttT"OANIEL ENGLAND Notary Public n Sute of Florida ConTPissioniP GG 333870 Signature of Contractor/License Holder STATE OF FLORIDA . COUNTY OF moT-Vin The forgoing instrument was acknowledgecyjefore me , 20_n by The forgoing instrument w this day of c Name of person making statement. Personally Known 7^ OR Produced Identification. Type of Identification Produced (Sigriature ofd^Fotgry Pubiic- State ofjlgridg L Commission No e>g)3^T)7o REVIEWS DATE RECEIVED DATE COMPLETED Rev. 2/7/19 FRO COU My Conrr.Expi Nati RfVTEW es May 13, 2023 nSlUiaSi^Vy^C ■KPWW' PLANS REVIEW VEGETATION REVIEW miM Filln DANIEL ENGLAND ry Public • State of Commission # GG 3338 My Corrrr. Expires May 13 Bondec sEmmr^ REVIEW through National Notar\ "MAITGROVe" REVIEW i i fo 2( A; ii I J'j ^ V Ij I y if-v, ¨ -.r>.-v6 jiliVVO i-.bncii ."t- U (: j'.: [ i -/M ,i. n vf.'A .-inv..:- rt.,^. w r.. V . -ii -