HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat1�a3�1°� Permit Number:
RECEIVED
Building Permit.Application JUL 2 3 2019
Planning and Development Services
Building and Code Regulation Division ST, �� lesN�k�f � rmlti ink
2300 Virginia Avenue,Fort Pierce FL 34982 T
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7700 White Egret Lane, Port St Lucie, FL 34952
Property Tax ID#: 3424-702-0196-000-6 Lot No.8
Site Plan Name: Block No. 64
Project Name:
DETAILED DESCRIPTION OF WORK:
AC change out like for like,4 ton package unit, replacing with Carrier 50ZPC048-3-TP, 14 SEER, 10KW Heat
CONSTRUCTION I'NFORMATIO"N.
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:$ $5000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR;
Name Francis and Nancy Viviano Name:Keith C Thompson
7700Wkiite,- pLaneE s :-- AC Keith Inc.,
Address: ,9f .. Company:
Cit Port Si Lucie Al��tAB ir3Tt\tAc ; % ' 6 :SW P eb Terr ce
City: aState: Address: �4..+:�° t.: �s�_
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Zip Code: 3495E n�' Port 3 Lhere s,�i2 '° ''": _ (:' FL
a > ��� ,,zEax<�� City: _.. State.:
Phone No 772 697L27815�i�}x. .+�t )� ;r „ Zip Code: 34953: ,�:;�; niFax cin/a
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Phone No
Fill in fee simple Title Holder on next page(if different E-Mail ackeithl@att.net
from the Owner listed above) - State or County License CAC1813976
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 L[EN1AW INFORMATION,,
DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY- _Not Applicable
Name: Name:
Address: Address:
City: u State: City: State:
Zip:. Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: ` _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 thepermit 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
WI H YOUR LENDC1;t1QR AN ATTORNEY BEFORE RECO RDIN Y UR OTICE OF COMME CEMENT."
t
ignature of Owne /Les a /Contractor as Agent for Owner S nature of Contractor/ icense
STATE OF FLORIDA STATE OF FLORIDA F _
COUNTY OF ST COUNTY OF
The forgoing instrument was acknowledged before me The'forggqing instrurrIentwas acknowledged before me
this 23 y of 20(61 by this��1day of dVl20 e
U _L1 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentificA*on Type of Identification
Produced F-L^ ��- Produced L
OihCGCt
(Signatu[4,
ul 'c- t e f Florida i natu
�'U P`��'' SAVITRI GAR ° °��;; SAVITRI GARCI'
Commisse'�- Q9e or Commis i1 e �y ,u c-State of Florida` _ -State of r Commission N FF 966265• Commission#FF 966265,,,� ;,..• y omm xpire_s Apr 1.2 0 pr
1,2020
REVIE PERVISOR PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE `
RECEIVED
DATE
COMPLETED
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