HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/24/2019 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
PERMIT TYPE:HVAC change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 Tompson Point Rd, PSL, 34986
Property Tax 1D #: 332770400200000
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 4 ton system with;
Goodman 4 ton 16.0 seer w110kw heat
Models GSXC16048 & AVPTC49C
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -- check all that apply:
a/Mechanical Gas Tank — Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5325.00
Sprinklers _ Generator
Sq. Ft. of First Floor: _
Lot No._
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoel Buthray
Name:Tracy Steele
Address:403 Sterling Rd
Company:Tracy D Steele Air Cond. Inc.
City: Jefferson State: IJA
Zip Code: 01522 Fax:
Phone No.508-612-3267
Address:2750 SW Edgarce St
City: Port St Lucie State: EI
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
If value of construction is 5zsuo or more, a Kt4.UKUW imoxice Ui l.UmmencemenL V. eyuu cu.
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:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
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 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 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 NOTICE OF COMMENCEMENT."
Signature of Own e /Lesee/�Iontractar as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Signature of ContfactQrJJkense Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this- day of �'i G�) 20fr day of 20
_ by this 2`f J L 4
' by
Name of per.sah making statement. Name of person (nakir4gAatement.
Personally Known X
Type of Identification
Produced
OR Produced Identification
Personally Known X
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- State of Florida } (Signature of Notary Public- State of Florida ]
Commi Comm i n No. (Seal)
�.►+d Notary Public State of Florida Daniel F Siacey . V* Notary Public S
y ante Ste y
REVIE °' 081271 a I SUPERVISOR PEA �E=r 9'z TLE MANGROVE
I I REVIEW REVIE E !JW_ REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7 1