HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/17/19 Permit Number:
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R
Building Permit Application
Planning and Develaprnent Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: �772j 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: MECHANICAL 4
PROPOSED IMPROVEMENT LOCATION: T
Address: 6007 ARLINGTON WAY
Property Tax ID #: 1312-501-0083-000-4 Lot No -
Site Plan Name: Block No,
Project Name: RONALD AND ELZA HOLMES
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE HVAC CHANGEOUT 3 TON 15 SEER 10 KW
I.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:
Cost of Construction: $ 4434,00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RONALD HOLMES
Name: FREDERICK MILLER
Address: 6007 ARLINGTON WAY
Company: MILLER'S CENTRAL AIR, INC
City: FT PIERCE State:
Address: 20 W INTERLAKE BLVD
Zip Code: 34951 Fax:
City: LAKE PLACID State: FL
Phone No. 772-564-6955
Zip Code: 33852 Fax: 772-344-6480
E-Mail:
Phone No 772-785-8080
Fill in fee simple Title Holder on next page [ if different
E-Mail OFF ICE@MILLERSCENTRALAIR.COM
State or County License CAC058675
from the Owner listed above)
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
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
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Add ress:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
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City:
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uvv 11F-nl 1 r\HL f VK HrrIUVI! : 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 buiid the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and co, enants 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITWYOUq LENDER OR AN ATTORNEY BEFORE RECORDING )(OUR NOTICE OF COMMENCEMENT."
Sigc+at&e,bf OwKerj Lessee/Contractor as Agent for Owner
STATE OF FLORIDA i
STATE OY FLORIDA
COUNTY OF
The f!' I oing instru e t was acknowledg before me
this day of , 20-D by
Name of person making state. ent.
Personally Known " OR Produced Identification
Type of Identification
Produced
r h'iml I
gnature ❑ otary Public- State of Florida }
Commission No. SEM 4,6
NrC is FF 96
REVIEWS + FRON
COUM
DATE
RECEIVED
DATE
COMPLETED
cerise Holder
The f oing instru nt was acknowledge before me
this day of , 20 by
(*fid Iv, , V J1hA I Ifi 1/1
Name of person making statement.
Personally Known 11� OR Produced Identification
Type of Identification
Produced
(Signature of hTo5ry Public- State of Florida )
ission No.
PtTVISOR PLANS VEGETATI a A
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REVIEW