HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/01/2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential K
PERMITTYPE: HVAC Mechanical AC Change Out
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Address: 8809 Champions Way Port Saint Lucie, FL 34986
Property Tax ID #: 3334-501-0017-000-5 Lot No. 3
Site Plan Name: LAKES AT PGA VILLAGE (PB 43-32) BLK A LOT 3 (OR 2533-2479) Block No. A
Project Name: HVAC Mechanical AC Change Out, LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install RHEEM 2 TON, 16 SEER, 5 KW HEATER, Straight Cool Split System, LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additivnal work to
be performed under
this permit—
cheek
all that apply:
Mechanical
Gas dank
Gas
Piping
� Shutters Windows/Doors
Electric
Plumbing
,� Sprinklers
Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cast of Construction: $ 4=400.00 Utilities: � Sewer _Septic
Roof Pitch
Building Height-.
OWNER/LESSEE.
CONTRACTOR:
Name Jeffrey P Piccoli
Name: belly Certosimo
Address: $$09 Champions Way
............
Company: Air Temp Air Conditioning, Inc.
City: Past Saint Lucie State: �
Address: 651 NW Enterprise Drive Suite #107
Zip Code: 34986 Fax:
City: Port Saint Lucie State: FL
Phone Na.772-579-3fi97
Zip Cody: 34986 Fax: 772-281-2907
E-Mail:
Phone Na 772-340-0740
Fill *In fee simple Title Hodder on next page (if different
E-Mail airtempac@yahoo.com
from the owner fisted above)
State or County License GAC1814837
If value
of construction i
00 or
more, a RECORDED Notice of Commencement is required.
If value
of HVAC is $7,500r
more,
a RECORDED Notice of Commencement is required.
P
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
city: State:
Zip-, Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City. State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name;
Add r :
01ty..
Zip: Phone:
DINNER/ CONTRACTOR AFFIDVIT: Application is hereby matte to obtain a permit to do the work and installation as indicated.
! certify that no wank car installation has commenced prior to the issuance of a permit.
t. Lu de Co u ntymakes no representation that is graritin a permit wiII authorize the pe rm it holder to build the subject structure
which is in coy li ct with any applicable Home Owners Association rules, bylaws or ana covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may a ppl t
Ire consideration of the granting of thi s requested permit* I do hereby agree that I wlII.Jn a I I respects, p rfo rM 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
"WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
7`4hIlCE FOR IMPROVEMENTS TO YOUR PROPERTY.- A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
PASTED ON THE JOB 5ffE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
a
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA '1
COUNTY OF
The far oing instrume�yvas acknowledged before me
this day of � t_} �[, . ZO. by
C)
1 I b e of pe rsgqmaking statement.
y
I
Personally Known OR Produced Identification
Type of Identification
Produced -
fSlgna'qftvre of Natary Public- Sfate- bf Florida �
Commission No. (Seal)
Signature of Contractor/License Holder
r
STATE OF FLORIDA
COUNTY OF - _ S+
The for wing -instrument was acknowledged Vefore me
this, day of 20LO by
[dame of persp making statement.
Personally Known --- )( OR Produced Identification
Type of Identification
Prod iced
(Signature of Notary Public- State of Florida j
Commission No. d � � (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev -W - -
ptjbilc State of Florida
Nola r� 74 N�o I a �y
atheri � Donna afar)
- expires 6!202
rrt f � A
r
Notary Pubic State of Ronda
athe rune Donna Mahan
4