HomeMy WebLinkAboutBuilding Permit ApplicationAII.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/4/19 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: HVAC Mechanical AC Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 8265 Mulligan Circle 3313 Port Saint Lucie FL 34986
Property Tax ID #: 3327-502-0123-000-2 Lot No.
Site Plan Name: CASTLE PINES CONDOMINIUM (OR 1571-492) PHASE IV UNIT 3313 (OR 3730-1170) Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK:
A/C Change Out, Install RHEEM 2 TON, 15 SEER, 5 KW HEATER, Straight Cool Split System. LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
XMechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,300.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE
CONTRACTOR. "-
Name Gary Lenz
Name:Kelly Certosimo
Address:8265 Mulligan Circle 3313
Company:Air Temp Air Conditioning
City: Port Saint Lucie State: F
Zip Code: 34986 Fax:
Phone No.516-314-5374
Address:1384 NW Commerce Centre Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772-340-0740
E-Mail:gwlbso@optonline.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail.airtempac@yahoo.com
State or County LicenseCAC1814837
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.
a
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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."
Signature of Owner/ Less a/Contractor as Agent for Owner
Signature of Contract/License Holder
STATE OF FLORIDAS�L(IA
STATE OF FLORIDA t� q ,
_
COUNTY OF �
COUNTY OItF //� _
The forgoing instr ment was a knowledge before me
The for oing inst m ant was a cnowledged before me
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this day of /� 201 byr,
this day of L oA • 2C� by
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1 (M ( `�(�- a ck�^ °J
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1(,w l P AaS C rv"n
Name of pers n making statement.
aking statement.
Nana of pers o!Jn
Personally Known OR Produced Identification
Personally Known ��X/�—OR Produced Identification
Type of Identification
Type of Identificati6n
Produced
Produced
Notary PubliC State of Flonda
State
/ ' "A1.44Notary Puohconna of Mohan
Catherine Donna Mahan
Catherine Donna Mahan
t r GG 178881
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Signature of Notary Pub cry «`OPf , V3/18/2022
(Signature of Notary Public- ai$,a Fkiiacjras 01,1812022
Commission No. Sea
Comon No. (Seal)
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