HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/10/19 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7706 Penny LN Fort Pierce, FL 34951
Property TaxlD #: 1301-607-0370-000-4
Site Plan Name:
Project Name:
HVAC Change Out
Trane 4TTR4036 3 Ton 14 SEER 36,000 BTU
Trane TEM4AOB36 3 Ton 10 KW
Additional work to be performed under this permit —check all that apply:
'A. Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq, Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ $5085,00 Utilities: _ Sewer _ Septic
Lot No. 11
Block No. 86
_Windows/Doors
Roof Pitch
Building Height:
:OWNER/LESSEE:
'
CONTRACTOR;
Name Peggy M Wegener
Name: Mark Matakaetis
Address: 7706 Penny LN
Company: Barker Air Conditioning
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address: 1936 Commerce Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax:
Phone No ( 772) 562-2103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed abov q
f �� �l il. 'I` I !ItateorCoUntylicense
E-Mail Jenniferbarkerac@gmail.com
CAC057252
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 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:
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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOUINTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L DER Olt AN ATTORNEY BEFORE RECO DINGYPURA01ACE OF COMMENCEMENT."
r
Signatbre of Owner Lessee/Contractor as Agent for Owner
gnature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF _ nyt t �i
COUNTY OF 1C
for
The for ping instrument was acknowledged before me
The for oing instru ent was acknowledged before me
this yof ,A, 20C1 by
this IL( dayof 20 (`1 by
2 ttJ'k
V �-.._ 6"�0 O' !ob t
Name of person making statement.
Name of person making statement.
Personally Known — OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign4ure f Notary Public- State of Florida J
(Signatvife of�ry Public- Sta e f FI I
Commission No. � t- �� �140: `s (? y RGINADOLORPSCMSANTE
Commission No. ��� = r, C� t �� IE I JADOLORFSCMSANT6
iM(� ATv 4ISSION H PF994031
f MY OMMISSIONHFF994031
EXPIRES: May 18, 2020�
EXPIRES N4i% 18, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19