HomeMy WebLinkAboutSt lucie-1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/29/19 Permit Number:
Building Permit Application
Planning and Developmen[services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: M lc�Gn(A1/1 `C_(J
PROPOSED IMPROVEMENT LOCATION:
Address: 5163 N A1A #216 FortPierce FL 34949
Property Tax ID #: 14,1-708-0005-000-3
Site Plan Name:
Project Name:
HVAC Change Out Split System
Trane 4TTR4030 2.5 Ton 15 SEER BTU 30,000
Trane-TMM5AOB30 2.5 Ton 8kw Heat
Unit
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5100,00 Utilities: _ Sewer _ Septic
Lot No.
Block No.
_Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE'::
:CONTRACTOR:.
Name Bart Jackson
Name: Mark Matakaetis
Address: 5163 N A1A #216
Company: Barker Air Conditioning
City: Ft Pierce State: _
Zip Code: 34949 Fax:
Phone No. (772) 461-3376
Address: 1936 Commerec Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax:
Phone No ( 772 ) 562-2103
E-Mail: N/A
Fill In fee simple Title Holder on next page ( if different
from the Owner listed ab v I' 61 I
�► IIli�ll I i �II�!��
E-Mail JenniferBarkerac@gmail.com
tbfe or Cou it' L nse CAC057252
9
If value of construction Is $2500 or more, a RECORDED Notice of Commencement if required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: F Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: r Not Applicable
BONDING COMPANY: x 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 the permit holder to build the subject structure
which is in contlict 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 Y UR L NDER 01�14RNEYIWFORE RECORDING YOUR NOTICE OF CO ME EE ENT."
/Z �d
Signature of Owner/ Lessee/Cont ctor as Agent for Owner
Signature of Cor fractor/ icense Holder
STATE OF FLORIDA _ _ n
COUNTY OF
STATE OF FLORIDA
COUNTY OF Gl /ZCV t' ✓
The forgoing instrument was acknowledged before me
this '3 0 day of t-t ( 20_I 7 by
The forgoing instrument was acknowledged before me
this 30 day of _� u ( I 20A by
role 1L IM(A Aa U&A- - S
�1)kr lc R/yw a \Lct k - I S
Name of person making statement.
Name of person making statement.
Personally Known ) OR Produced Identification
Personally Known r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
E
n
g�
(Signa Ire otary Public- State of Florida)
' / i yC�3
Com ssion No. ( J""� j��RGINADOOPRER�
MY CONWISSI
EXPIRES: M
otary Public- State of Flori
(Signatu Cn
/ .a JMIITRGINADOLO
. r' 99�/ n�vcotimnsslo
N It FF994031 a�.o EXPIRES: May
18 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.