HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/20/19 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:hvac change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 6105 Tangelo Dr, Ft Pierce, FI 34982
Property Tax ID #. 340261003860005
Site Plan Name:
Project Name:
DETAILED DESCRfPT#ON OF WORK:
Replace existing a/c system with Goodman 4 ton 16.0 seer W110kw heat
Models GSX16048 & ASPT49D
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4800.00
Sq. Ft. of First Floor:
Utilities: Sewer Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building !-!eight•
OWNER/LESSEE:
CONTRACTOR:
Name Deborah Snyder
Name_ Tracy Steele
Address: 6105 Tangelo Dr
Company: Tracy D Steele Air Conditioning Inc
City: Ft Pierce State: F1,
Address: 2750 SW Edgarce St
Zip Code: 34982 Fax:
City: Port St Lucie State: FI
Phone No. 772-464-7054
Zip Code: 34953 Fax:
E-Mail:
Phone No 772-215-1974
Fill in fee simple Title Bolder on next page ( if different
E-Mail tdsac@aol.com
from the Owner listed above)
State or County License CAC035553
if veluo of �nncrr...i:....:.. Cann _
1mvi- .c ul -.ummencemeni Is requirea.
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
Narne:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City -
Zip: Phone:
Not Applicable
State:
Not Applicable
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 Le sse /Contractor as Agent for Owner Signature of Con'act r/ ' ense Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 20 day of Dec 20_ff by
Tracy D Steele
Name of person making statement.
Personally Known X OR Produced identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission Na.
a ary le[}anlet F Stacy StE53
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DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 20 day of Dec 20a by
Tracy D Steele
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Sig _ }
Notary Public Stare of Florida
Corn is Daniel F Stacey
_ sts5 al)
w Expires lIV2212022
PLANS I VEGETATION SEA TURTLE I MANGROVE
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