HomeMy WebLinkAbout20191001154908306All APPLICABLE INFO MUST BE COMPLETED FOR PLICATION TO BE ACCEPTED
Date: Permit Number:
Planning • Development
Building and Code Regulation Division
I! Virginia Avenue, Fort Pierce FL 34982
Commercial!
PERMIT TYPE: Mechanicai
Address: 6112 Spring Lake Terrace Fort Pierce, FL 34951
Property Tax ID #: 1312-503-0150-000-1
Site Plan Name:
Project Name: Mercedes Cardona
Lot No.377
Block No,
HVAC Equipment Change Out; Make -Carrier; A!H Model: FB4CNP048L00; C/U Model: CA16NA04800G
Heater KW: 10; Tonnage-4
Additional workto be performed under this permit —check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
j Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: �*
Cost of Construction:
_Generator
Sq.First Floor:
_Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Merecedes Cardona Name: Donald O'Bryon
Address:6112 Spring Lake Terrace Company: Preferred Air Conditioning & Mechanical, Inc.
City: For Pierce State: _ Address:1643 Donna Road
Zip Code: 34951 Fax: City: West Palm Beach State: FL
Phone No.321-698-6940 Zip Code: 33409 Fax: 561-478-0089
E-Mail:merche86@icloud.com Phone No561-689-1093
Fill in fee simple Title Holder on next page { if different E-Mailtricia@preferredacmech.com
from the Owner listed above) State or County LicenseCAC1817665
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:
(MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
representationI certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Coun makes no - permit will authorize the ermit holder to build the subject structure
which is in co 171ict with any applicable Home •
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
H I i w V
. .D. 'r 7Igm
'f:: :d fi•II I,.
t
Signature 6f,Owner/ Lessee/Contractor as Agent for Owner
Signatue of C,pntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPalm Seach
COUNTY OFPaIm Beach
The forgoing instrument was acknowledged before me
The forgoing instrument
was acknowledged before me
this iac day of October 20i_B by
this is< day of Oorouar
20_ by
Donald OBryon
Donald O'Bryon
Name of person making sta emerit.
Name of, per on ma g
later ent.
Personally} no X iOR Produced identification
,'Person
ly own
OR produced Identification
Type'of Id e` rtifica eon
Type of I ific n ,
Produced
Prod F
i t
I
•. TRICIARADD
` /
..•
,
(Sfgnat 'eof o ry Pu
,Florida) TRICIARADD
(Signature of [Y ..,
, A; EXPI S:Juyt8,2023
°
MYCOMMISSION#GG313M
PublicUndawlllers
Oi�M1'
Commission No. GG31 �d�
\
rnm4slon No. G133 4
COG3
4":. p s RP; July 18,2023
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Rev. 2/ // 19