HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/09/19 Permit Number:
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 X
PERMITTYPE: HVAC CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7416 Laurels PI, Port St Lucie
Property Tax ID #: 332250100170008
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 4 ton system with Goodman 4 ton 2 stage 16.0 seer straight cool w110kw heat
Models GSXC16048 & AVPTC49C
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
/Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4950.00
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Glyn Evans
Name:
Address: 7416 Laurels PI
Company: Tracy D Steele Air Cond. Inc.
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No.772-538-5403
Address: 2750 SW Edgarce St
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No 772-215-1974
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailtdsac@aol.com
State or County License CAC035553
+. — — VI '41 LI YL.LIV1I" '14lvu ul IIFUIV, d rccwttVtu rmotice Or LOmmencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City:
Zip: Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another nonresidential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature o Owner/ ssee ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Signature of C$ntract r/Li e Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9 day of July 20_ by this 9 day of Jciy . 20� by
as
337m-
Name of pers&:i- aking statement. Name of pers making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
TSignature of Notary Public- State of Florida ]
Commissi
�40 Notary Public State of
Daniel F Stacey _ _
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known X OR Produced Identification
Type of Identification
Produced
C
[Signature of Notary Public- State of Florida ]
Co
Daniel F
Expires 0
EW REVIEWOR REVIEW REVIEW REVIEW � M EVIEWVE