HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/25/2019
7F L Q R I D A_'"---J
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: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
Address: 5901 Balsam Drive, Fort Pierce 121 SE Bonita Court, Fort Pierce, FL 34982
Property Tax ID #: 3402-610-0347-000-0
Site Plan Name:
Project Name: A/C Change out
Lot No. 21
Block No. 81
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 4 Ton 14 SEER with 10 KW Electric Heater
for residential property.
CONSTRUCTION INFORMATION:
Add
�
iti nal work to be performed under this permit —check all that apply:
vMechanical _ Gas Tank , Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4497
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kelle D Molinia
Name: Freddy Guillemi
Address: 5000 Palmetto Drive
City: Fort Pierce State: FL
Zip Code: 34982 Fax: T
Phone No. (772)380-3661
Company: Indoor Air Care, Inc.
Address: 1934 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 344984 Fax:
Phone No (772)873-5003
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail indooraircarepsl@gmail.com
Stateor County License CAC 1816063
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:
X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
X Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an,attorney before
commencing work pr recording your Notice of Commencement. e /
_ Signature
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The f r oing instr ent was acknowledge efore me
this day of �srt 20 � -Lb,
FREDDY GUfiLEMI
(Name of person acknowledging)
Signature of Cont
STATE OF FLMIDA
COUNTY OF SAINNTf LUCIE
The forgoing instrument was acknowledged before me
this.Z5 day of Se4ff',,n(ae r 20 t') by
FREDDY GUILLEMI
(Name of person acknowledging)
(' na of ary Public- State of Florida) Anar ' f Noto Public- State of Florida)
Personally Known X
Type of Identification Pr
Commission No.d-6',_,?l
Revised 07/ 15/2014
OR Produced Identification Personally Known X OR Produced Identification
Iced Type of Identification Produced
LIZETTE SOLOMON
0e0misSION #GG211369 Commission No.
EXPIRES: APR 25, 2022
'1�1jtlIMISSION #GG211369
EX RRES: APR 25, 2022
Bonded through 1st State Insurance
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