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 -