HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/U/2019 Permit Number:
- TC
COUNTY
RECEIVED
- - - - Building Permit Application
19
Planning and Development Services OCT 2' 2 L;
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMITTYPE:
AC Changeout
PROPOSED INP,ROVEMENT LOCATION:
Address: 10219 Lennard Rd
Property Tax ID#: 3414-501-4701-020-6 Lot No.
Site Plan Name: Griggs Plaza LLC Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for Like AC Change Out
2 ton 14 SEER Frigidaire system with 5 INV heat strip
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Zmechanical _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:$ 2193 Utilities: —Sewer _Septic Building Height:
OWNfR/LESSEE: CONTRACTOR:
Name Griggs Plaza Name:Ramon Lalloo
Address:10231 SE Lennard Rd Company:Frigid Air LLC
City: Port St. Lucie State:FL Address:1651 SE Goucho Ave
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No.7723415490 Zip Code: 34952 Fax:
E-Mail:consortiumllc@gmail.com Phone No 772-212-1113
Fill in fee simple Title Holder on next page(if different E-Mail Acinfo@frigidair.cool
from the Owner listed above) State or County License CAC1819319
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: 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 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 you rty.A Notice of Commencement must be recorded and posted on the jobsite
before the f' spection. you ' tend to obtain financing, consul der or an orney before
comme n work oy or I our Notice of Commencemen .
gnature of Owner)t seeJContractor as Agent for Own eV Signature Zfntraclzrh enseHolder
STATE O Q A STATE QQB1DA
COUNTY OF �. �_�� _1�P COUNTY OF ��`rt • Ll�C:.kC�.
The forgoing inst. me t w s ackno ledged before me The fo going instrument w s acknowledged before me
this J day of �20 q by this�day of 1CC_A-C'3�� 2019 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known �Q_OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
( sgnature of Notary PubOlic- tate of Flo ' a) (Signature M Notary Public-State of Florida)
Commission No. (Seal) Commission,,No.
RACHAEl. CLINTON RACHAEL CLINTON
C., e o F
oria . ' Com ission#GG 318 24
REV +* ` � mm s i �� 4 SUPERVISOR PLANS �j ., YONMy fi1Air BVI GROVE
�'►� ` CO F�f9 REVIEW REVIEW 3 VIEW
DATE
RECEIVED
DATE
COMPLETED
lev.9/26/18