HomeMy WebLinkAbout20191111133954468All APPLICABLE INFO , r FOR APPLICATION TO BE ACCEPTED
Date:
DeBuilding and Code Regulation velopment Services
/I Virginia Avenue, Fort Pierce FL 34982
CommercialI
Address: 6701 Tulipan Fort Pierce, FL 34951
Property Tax ID #: 1306-500-0285-000-8 Lot No.B
Site Plan Name: Thomas Henning Block No. 55
Project Name: Thomas Henning
HVAC Equipment Change Out; Make -Carrier, A/H: FMA4X2400AL; C/U: CH14N6024000; 2 ton 14 seer
Additional workto be performed under this
OWNER/LESSEE:
permit —check all that apply:
_Mechanical _ 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:$ 4495.00
Utilities: _Sewer
_Septic
Building Height:
CONTRACTOR:
Name Thomas Henning
Name: Donald O'Bryon
Address:6701Tulipan
Company: Preferred Air Conditioning & Mechanical, Inc.
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-595-3799
Address: 1643 Donna Road
City: West Palm Beach State: FL
Zip Code: 33409 Fax: 561-478-0089
Phone No 561-689-1093
E-Mail: tfhenning1957@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail tricia@preferredacmech.com
State or County License CAC1817665
IL value
of construction is
$25®0 or
more, a Ra:coaDeD rvotace or commencement as regaare®.
If value
of HVAC is $7,500
or more,
a RECORDED Notice of Commencement is required.
7rT171rM FR •.
DESIGNER/ENGINEER: NotApplicabie
'MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:.
Address:
City: State:
City: State:
Zip: Phone
.
I
FEE SIMPLE TITLE HOLDER: Not .. .. l', -
BONDING COMPANY:. pp 1. i. ..:. -
Name: II
Address: 11111 1■I
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 makes no representation that is granting
which is in conrlict with any applicable •me Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure, Please consult with your Home
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
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