HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/02/2019 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 6771 Mar Pacifico Ct Fort Pierce, FL 34951
Property Tax ID #:
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
3.5 Ton Split System r.
10 KW Heat
Like for Like
CONSTRUCTION I
Commercial Residential X
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
—Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 6500.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hurbert Biough
Name: Robert Marcelle
Address:6771 Mar Pacifico Ct
Company:Comfort Experts USA Inc
City: Fort Pierce Stater
Zip Code: 34951 Fax:
Phone No.269-948-8885
Address:664 NW Enterprise Dr. Unit 120
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-873-3090
Phone N0772-873-3000
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailckongerl4@gmaii.com
State or County License CAC1814439
n vdiue or consirucnon is >[5UU or more, a xecUnUeU 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:
Not
Na
City: State: _
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not
Address:
City:.
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
UwNtK/ I.UN I KAL I UK 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 (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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NnnrF OF rnMMFNrFMCNT "
Signature of Owner L see/Contractor as Agent for Owner
Signature of C tr ctor/License Holder
STATE OF FLORID
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Personally Known
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Type of Identification
Type of Identification
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