HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/07/2019
I�t
COU
S
F t 0 IR I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial X Residential
PERMITTYPE: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
Address: 5799 South US Hwy 1, Fort Pierce, FL 34982
Property Tax ID #: 3410-244-0004-000-6
Site Plan Name:
Project Name: A/C Change out
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 2 Ton 14 SEER with 5 KW Electric Heater
for commercial property.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4235
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Berean Church of God International Port St Lucie, In
Name: Freddy Guillemi
Company: Indoor Air Care, Inc.
Address: 1934 SW Biltmore St.
Address: 2262 SE Maslan AVE
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. (772)200-0027
E-Mail:
City: Port St. Lucie State: FL
Zip Code: 344984 Fax:
Phone No (772)873-5003
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail indooraircarepsl@gmail.com
State,or 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:
DESIGNER/ENGINEER: X Not
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
Zip: Phone:
1 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 application, 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 n attorney before
commencing work or recording vour Notice of Commencement.
_ Signature--of.QvV-ner/ Ldssee/Agent
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this rl'µ-day of (► f T-,,bk,✓ , 20 ftby
FREDDY GUILLEMI
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instr ent vFas acknowledged fore me
this � day of L Q_4_ -/ , 20 by
FREDDY GUILLEMI
(Name of person acknowledging)
ign ure of Notary Public- State of Florida) (S at a of Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No.
Revised 07/ 15/2014
LIZETTE SOLOMON
MY COMMISSION #GG211369
EXPIRES: APR 25, 2022
Bonded through 1st State Insurance
Commission No.
LIZETTE SOLOMON
MY COMMISSION #GG211369
EXPIRES: APR 25, 2022
Bonded through 1st State Insurance
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