HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/06/2019 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5410 Killarney Ave
Property Tax lD #: 1301-614-0012-000-9
Site Plan Name:
Project Name:
Building Permit Application
Commercial Residential xx
Lot No. 12
Block No. 157
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Goodman 3.0 ton 15.0 SEER with 10kw heat
Condenser Model: GSX6361A Air Handler Model: ASPT37C14A
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: $ 4500.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lisa Welch
Name: William H. Britton, Jr.
Address: 5410 Killarney Ave.
Company: Buddy's A/C LLC
City.. Fort Pierce State: rL
Zip Code: 34951 Fax:
Phone No. 772-332-6284
Address: $815 W Angle Road
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No (772) 480-4136
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail buddysacllc@gmail.com
State or County License CAC1820063
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: xx Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: i 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 AssoClatlbn 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."
Signature of Owner/ Le see/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st. Lucia COUNTY OF st --
The forgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this � day of 6PIa A 20j q by this ` `day of Za ff by
William H. Britton Jr. William H- Britton Jr.
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identification NIA Personally Known xx OR Produced Identification NIA
Type of Identification Type of Identification
N!A Produced NIA
Z
A 'lit ZL�� -
ignature of Notary Public- State of Floridritina R. Parsons (Si 951ture of Notary Public- State of Florida )
,�oZPr RYA&
NOTARY
OF FLORIDA o�osasss PUBLIC �9ta�, Kristina. R. Parsons
Commission No. oo094836 4 e Commission No. N&r4YPU13LIC
o STATE OF FLORIDA
r = Comm# GG090836
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAE��JRTLVpI VQPMVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7 1