HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO HE ACCEPTED
Date: 08/10/2019
Permit Number:
g
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:hvac Change
-Out
PROPOSED IMPROVEMENT LOCATION:
Address: 8310 Belfrey Place
Property Tax ID #: 332770100060007
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton unit with, -
Goodman 16.0 seer 2 stage unit w/10kw heat
Models GSXC16060 & AVPTC61D
CONSTRUCTION INFORMATION:
Building Permit Application
Commercial Residential X
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank — Gas Piping Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5500.00
' OWNER/LESSEE:
Name Hart Stephenson
Address:8310 Belfrey PI
City: Port St Lucie
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
— Roof Pitch
Utilities. —Sewer —Septic Building Height:
State: FL
Zip Code: 34986 Fax.
Phone No.770-361-7829
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:Tracy Steele
Company: Tracy D Steele Air Cond. Inc.
Address:2750 SW Edgarce St
City: Port St Lucie
Zip Code: 34953 Fax:
Phone No 772-336-2448
E-Mailtdsac@aol.com
State or County License CAC035553
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.
State: F1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: __ Not Applicable
Name:_
Address:
City.
Zip:
Phone
FEE SIMPLE TITLE HOLDER
Name:_
Address:
City:
Zip:
Phone:
State:
Not Applicable
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. LucieCount 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 Nome 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, 1 do hereby agree that 1 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 YOUR NOTICE OF COMMENCEMENT."
Signature of O�see_onAgent for Owner Signature of Coutr for/L a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF i L-/
The forgoing instrurpent was acknowledged before me The forgoing instrument was acknowledged before me
this Ln day of Aq -C, . 201� by this 0 day of 20,E by
Name of personInakingstatement. Name of per�ngdstatement.
/
Personally Known Y OR Produced Identification Personally Known y/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Signature of Notary Public- State of Florida )
Commission N+""'�"T"""T
ublic 5ta�ride
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Daniel F Stacey
s My Commission GG 251653
{Signature of Notary Public- State of Florida j
Com
VISOR I PLAI`49
COUNTER REVIEW REVIEW REVIEW
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Daniel F Stacey
M Commission GG 251653
Expires 08122! 022
REVIEW REVIEW
MANGROVE
REVIEW