HomeMy WebLinkAboutBUIDLING PERMITAil APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r]at, 09/12/19
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential x
PERMITTYPE: HVAC Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 10210 Isle of Pine Ct, PSL 34986
Property Tax ID #. 332180200170009
Lot No._
Site Pian Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3 ton systemwith
Goodman 3 ton 14.0 seer w110kw heat
Models GSX14036 & ASPT35B
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
V Mechanical _ Gas Tank —Gas Piping Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction. $ 4500.00
OWNER/LESSEE:
Name Leonard Korman
Sprinklers Generator
Sq. Ft. of First Floor:
Address:10210 Isle of Pine Ct
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No.772-618-0142
Utilities: _Sewer _Septic
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:Tracy Steele
Windows/Doors
Roof Pitch
Building Height:
Company:Tracy D Steele Air Cond. Inc,
Address:2750 SW Edgarce St
City: Port St Lucie State: Fl
Zip Code: 34953 Fax:
Phone No 772-215-1974
E-Mailtdsac@aol.com
State or County License CAC035553
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f 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 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 Owner/ 'ssee/C ntractor as Agent for Owner
STATE OF FLORID
COUNTY OF —G1 W
The forgoing instrument was acknowledged before me
this day of S-35TET5 ,2oA by
Name of person making statement.
Personally Known _ i / OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public-- State of Florida }
Commission No.
Notary Pubk State d FWift
Signature
STATE OF FLORMA
COUNTY 01`_, _ T
Holder
The forgoing instr nt was acknowledged before me
this day of ZOZ;�by
Name of person making statement.
Personally Known ti/ OR Produced Identification
Type of Identification
Produced
_.,v �Z-M�d
(Signature of Notary Public- State of Florida j
Commission No. Pub4c St4wgbria.
Daniel F Stacey
s My Cammissi4n GG 251653
4 ���T_
REVIEWS �t PLANS
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DATE
RECEIVED
DATE
COMPLETED
REVIEW I REVIEW I REVIEW
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