HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/16/2019 Permit Number: 0_@0(3k$
RECEIVED
Building Permit Applicati n SEP 16 ^019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4 Lake Vista TRL Apt#104, Port Saint Lucie FL-34952
Property Tax ID#: 3422-500-0046-000/4 Lot No.
Site Plan Name: Block No.
Project Name: AC change out/No Duct work
[DETAILED DESCRIPTION OF WORK:
REPLACE TO 2 TON EXISTING SYSTEM WITH PAYNE 2 TON SYSTEM
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NEW AIR HANDLER MODEL:FB4CNF024L �1/�/NEW CONDENSER CONDENSER UNIT: PA14NCO240A
CONSTRUCTION INFORMATION:
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:$ 2290 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name RAYMOND S FICERE Name:KAREN OLIVER
Address:4 LAKE VISTA TRL APT 104 Company:AAA A/C QUALITY SERVICES
City: PORT SAINT LUCIE State:_ Address:126 VALENCIA ST,
Zip Code: 34952 Fax: City: ROYAL PALM BEACH State:FL
Phone No.330-760-7111 Zip Code: 33411 Fax:
E-Mail:rayficere@hotmail.com Phone No 800 506 9429
Fill in fee simple Title Holder on next page(if different E-Mail aaaacqualityservices@gmail.com
from the Owner listed above) State or County License CAC1818921
.If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Ifvalue 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."
Sig a of Owner/Lessee/Contractor as Agent for Owner Si na re of Co actor/Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PORTSAINTLUCIE COUNTY OF PORTSAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16 day of SEPTEMBER 20 I6T by this 16 day of SEPTEMBER 20_q by
RANiO,�NID FIERCE KAREN OLIVER
Wffib of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signa - e ff II r� ) (Situ
Notary Public
fel®of r�lde a gnaR�Notary Public State of Florida
Comm[ i �. Beatriz Beretervide Seal
scion GG 2. 86CommissBeatriz Beretervide - Sea
Expires 08101120 2 y GG 24488 Expires 08/0112022
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REVIEWS FRONT ZONING" SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW ,REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 19