HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/06/2019 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: HVAC Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 5745 Sterling Lake Dr, Ft Pierce 34951
Property Tax ID #: 131250101480008
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3.5 ton system with;
Goodman 4 ton 2 stage 16.0 seer w110kw heat
Models GSXC16048 & AVPTC49C
CONSTRUCTION INFORMATION:
Commercial Residential X
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
4Mechanicai _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Daniel Wikowski
Address:5745 Sterling Lake Dr
Name: Tracy Steele
Company:Tracy D Steele Air Conditioning Inc
City: Ft Pierce State:_
Zip Code: 34951 Fax:
Phone No.203-584-2707
Address:2750 SW Edgarce St
City: Port St Lucie State: FI
zip Code: 34953 Fax:
Phone No772-215-1974
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 LicenseCAC035553
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:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association bylaws
rules, 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 LE ER OR AN TTORNEY BEFORE RECORDING YOURNOTICEOF COMMENCEMENT."
Signature of Owner/ Lg6seeXonractor as Agent for Owner Signature of Coutr for/L a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ai- 1,�1 COUNTY OF r L`-1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this c, day of i{�•?\��i. 20%g by
20A by this __L_y]dnay of _ -� i
�\(T}• A
l
Name of person aking statement. Name of pers making statement.
Personally Known V OR Produced identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Producedd Produced
Signature of Notary Public- State Florida)
of (Signature of Notary Public- State of Florida }
Commission N //'¢ Com ss,
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06/2212022
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lev.277719