HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 06/27/2019 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Farr Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential x
PERMITTYPE: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 5604 CICALA AVE
Property Tax ID #: 1301-612-0353-000-5 Lot No.
Site Plan Name: Block No.
Project Name: BRYAN VOZAR
DETAILED DESCRIPTION OF WORK:
HVAC LIKE FOR LIKE CHANGE OUT 3 TON 14.50 SEER 10 KW
CONSTRUCTION INFORMATION:
Additi al work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric Plumbing w Sprinklers Generator , Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5547.00 Utilities: — Sewer _ Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name BRYAN VOZAR Name: FREDERICK MILLER
Address! 6604 OCALA AVE Company: MILLERS CENTRAL AIR, INC
City: FT PIERCE State: Address: 20 W INTERLAKE BLVD
Zip Code: 34951 Fax: i City: LAKE PLACID State: FL
Phone No. 772-940-3107 Zip Code: 33852 Fax:
E-Mail: Phone No 772-785-8080
Fill in fee simple Title Holder on next page { if different E-Mail OFFICE:@MILLERSCENTRALAIR.COM
from the Owner listed above) State or County License CAC058675
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:
pESIGNERf ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
_
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
❑WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 INSPECTIO IF U INTEND TO OBTAIN FINANCING, CONSULT
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I YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO NOTIC F COMMENCEMENT."
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Sfena Vfof ner/ Lessee/Contractor as Agent for Owner
Sig atur of ontractor/License Holder
STATE OF FLORIDA
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Ten, 2/7/19