HomeMy WebLinkAboutBuilding Permit ApplilcationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/04/19 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION;
Address: 7304 Salerino Rd
Property Tax ID q:
Site Plan Name: _
Project Name:
HVAC Change out
1301-606-0268-000-3
Building Permit Application
Commercial Residential X
Cond: 4TTR4030 3 Ton 15.25 SEER 30,000 BTU
Air Handler: GAF2AOA36 3 Ton 8 kw heat
Lot No. 12
Block No. 69
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5975.00
Generator Roof Pitch
Sq.First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
�CONTRAGTOR:
Name William Hearing
Name: Mark Iv1(J
Address: 7304 Salerno Rd
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: 772-562-5340
phone No 77i-56— 2-2103
E-Mail:
Fill in fee simple Title Holder on It a (if differen
from the Owner listed above) III III
E-Mail Jenniferbarkerac@gmail.com
4State or County) icense CAC057252
Ii value or construction is 52500 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: /'I- 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 1 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 J B SITE BEFOR r HE FIRST INSPECTION. IF YOU INTEND T9 OBTAIN FINANCING, CONSULT
WITH YOUR L DE I OR AN TTO Y BEFORE RECORDING YOUR NOTIC OF COMMENCEMENT."
4
Signatur `of Owner/ Lessee/ContractoCas Agent for Owner
Signature of Contractor/License olc&r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF v�d ,.� a , 4 Q .z
COUNTY OF j (, e � t'�a= r2� s,,0 v
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this 4�'- day of C\)0 3 120 i=l by
this t� day of 1°0 Ct,) 20 FI by
i;._ i v s. �� �§ ✓..�-�"I < d v `.'
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
(Signature Notary Public- State of Florida j
(Signature o Notary Public- State of Florida )
Commission No. VE k tJ " Poo 9RAIPEROINADOLORESWSA
E ommission No. l I w IEEf�,rd� 111ADOLORESCRISAME
MY C01,4MISSION 9 FF99401
I MY COMMISSION N FF994031
ExpIRES: May 18, 2020
EXPIRES: May 18, 2020
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