HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/24/2019 Permit Number:
COUNTY
Building Permit.Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:AC changeout like for like
PROP05ED IMPROVEM T LOCATION:
Address: 9816 Perfect Dr Port Saint Lucie FL, 34986
Property Tax ID#:'3327-702-0039-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DE=�SCRt�PTtON leI NNRK:
AC changeout like for like. 2 ton system.AH- RH1T2417 Condenser- RA1624, 16 SEER. KW 5
CONSTRUCTION INFORM TION
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:$ 2500 Utilities: —Sewer _'Septic Building Height:
OW ER/LESSEE: CONTRACTOR:
Name Dale Monaco Name:Derek Powell
Address:9816 Perfect Dr Company:Local Guy Air Conditioning
City: Port Saint Lucie State:_ Address:PO Box 1218
Zip Code: 34986 Fax: City: Port Salerno State:FL
Phone No.551-998-5674 Zip Code: 34992 Fax:
E-Mail:dalezy08@aol.com Phone No 772-291-3097
Fill in fee simple Title Holder on next page(if different E-Maillgac772@gmail.com
from the Owner listed above) State or County LicenseCAC1817689
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:
EEi
EEi
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, 1 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
WITH
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA,, `'
�
STATE OF FLORIDA
COUNTY OF ``
COUNTY OF
The fea.ping instru ent r nQj'edged before me
this day of K1. 20 by
The f r ing instr n was a k o ledged efore me
this day of 20� by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known L
_
-.- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
LINDSEY BAKERry Public
State Florida
AW)w�,�
- of
= C.. LINDSEY BAKERSignature
of of (Signature
Expires ay 16, 2023
E
of otary Public of FI c rate o on aoriim:
�o
through National Notary Assn.
4 ^/
11[ .o scion e GG 335507
'? of
or n My Comm. Expires May 16, 2023
Commission No.
Commission No. Boncee tn(ei�ational Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19