HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: AC Change Out
Address: 66 Aqua Re Drive Jensen Beach, FL 34957
Property Tax ID #: 4511-811-0013-0005
Site Plan Name: WINDMILL VILLAGE BY THE SEA -
Project Name: Simoneau
Lot No.12
Block No. A
AC Change Out, no duct work. AHRIt'# 202540571
Air Handler. Lennox CBA25UHV, SEER 16,4 TONS, Heat Strip 8KW, HACR Breaker fuse size 45, Wine size 8
Condenser: Lennox 16ACX048, SEER 16, 4 TONS, HACR Breaker Fuse size 29min/40max, Wire size 8
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters — Windows/Doors
,_,_, Electric Plumbing —Sprinklers _ Generator _ hoof Pitch
Total 5q. Ft of Construction: _
Cost of Construction: $ 6723
NameTammy & James Simoneau
Address:66 Aqua Re Drive
City: Jensen Beach , FL state:
Zip Code: 34957 Fax:
5q. Ft. of First Floor:
Utilities: _ 5ewer _ Septic Building Height:
Name: Adam Emanuel
Company-Arnold's Air Conditioning of South Florida
Address:1413 SE Conference Cr
City: Stuart State: FL
Phone No. (772) 349-4070 Zip Code: 34997 Fax:
E-Mall:simoneaut@yahoo.com _ Phone No561-515-5527
Fill in fee simple Title Holder on next page is if different E-Mail Adam@amoldsairconditioning.net
from the Owner listed above) 5tate or County License CA01814146
f value of construction is 92SOO 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.
NEER:
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:
Address:
City:
Zip: Phone:
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 Count+ 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 517E _Bg RST IINSPECTKNC IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTO NEB FORE RECORDING YOUR NOTICE OF COMMA!ENT.'�_--.
as Agent for Owner
FATE OF FLORIDA
COUNTY OF _ JM Z�CLJ
The for sing instrument was cknowledged before me
this o,V day of _ _--J ( L� 2-0/ by
Name of person making statement.
Personally Known /_ OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida)
Commission No. (Seal}� i 111,
REVIEWS
RECEIVED
COMPLETED
TE OF FLORIDA
JNTY OF
The forgoing instrument was acknowledged before me
thisdayof_ QLY 20,q by
Name of person making statement.
Personally Known I✓' OR Produced Identification
Type of Identification
Produced
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