HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/19 Permit Number:
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:HVAC Mechanical AC Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 11470 Carlton Road Port Saint Lucie FL 34987
Property Tax ID #: 4215-321-0021-000-1 Lot No.
Site Plan Name: 15373851/2 OF N 112 OF NW 114 OF SW 114-LESSW 100 FT -(9.05 AC)(OR 34327'/'455208]:6351412:638-580;3883-2371) Block No.
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DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install RHEEM 3 TON, 16 SEER, 7 KW HEATER, Straight Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
hMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,800.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ernest Carnahan
Name: Kelly Certosimo
Address:11470 Carlton Road
Company.AIR TEMP AIR CONDITIONING, INC.
Address: 1384 NW Commerce Centre Drive
City: Port Saint Lucie State: _L
Zip Code: 34987 Fax:
Phone No. 772-465-4300
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772-340-0740
E -Mail: info@carnahaninsurance.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail airtempac@yahoo.com
State or County License CACI 814837
If value of construction is $2500 or more, a KtLVKU[U INOULC U! wuuum,a.cu,c,,a ,-y.........
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTY OF
Address:
Th r oing inst en w s acknowledge fore me
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Produced
Address:
a✓*' Notary Public State of Florida
City:
Donna Mahan
City:
_ My Commission GG 176661
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Zip: Phone:
(Si a u of Nota 'Pili ic- Sae F/f
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 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."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
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STATE OF FLORIDAIo
STATE OF FLORIDA
COUNTY OF A A
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Personally Known OR Produced Identification
Personally Known 1� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced_
a✓*' Notary Public State of Florida
" Notary Public State of Florida
3 Catherine Donna Mahan
Donna Mahan
a My Commitls�on GG 178881
_ My Commission GG 176661
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DATE
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