HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i)at, 9/17/2019
•
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
PERMIT TYPE: HVAC Change OUt
PROPOSED IMPROVEMENT LOCATION:
Address: 119 NE Bracken Rd Port ST Lucie FI 34983
Property Tax ID #: 3419-570-0024-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton with
Goodman 14 SEER system with 5KW heater
Models GSX14030 & ASPT35B
CONSTRUCTION INFORMATION:
Residential x
Lot No,
Block No.
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: $ 4500.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTerri Walden
Name. Tracy D Steele
Address-119 NE BRACKEN RD
Company: Tracy D Steele AC Inc
City: Port St Lucie State:
Address:2750 SW Edgarce St
Zip Code. 34983 Fax:
City: Port St Lucie State: Fl
Phone No.8047841549
Zip Code: 34953 Fax:
E-Mail:
Phone No7723362448
Fill in fee simple Title Holder on next page ( if different
E-Mailtdsac@aol.com
from the Owner listed above)
State or County License CAC- 035553
If value of construction is S2500 or mnrw. n RFCnRnFn ni.,+., ,..,s r .. ___
- -, - ••--..__....,. .,� ..on—pa��ticmrnm is requires.
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
Name:—
Address: -
City:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
te:
Not Applicable
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 Countyy 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 I#IOTICE OF COMMENCEMENT."
Signature of Owner/
r as Agent for Owner � Signature of
Holder
STATE OF FLORIDA I STATE OF FLORID
COUNTY OF I uGl COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _ZJZ day of 5 201 by this J -2-' day of 5 20%9' by
name of person making statement.
Personally Known _ZOR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida
Commission No. p NoteryPubp� rfFlaridis
aniel S(�ac�
,► ` e My Commission GG M653
REVIEWS I F K(_NG SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Name of person making statement -
Personally Known ,/ OR Produced identification
Type of Identification
Produced
(Signature o *N "° ' ' rQ
+�ti My Commissian GG 251853
Commission o. Z Mires0B122l2022 (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW