HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/10/2020 Permit Number:
� 10Y
•
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: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
Address: 10208 Isle of Pines Court, Port Saint Lucie, FL 34986
Property Tax ID #: 3321-802-0016-000-2
Site Plan Name:
Project Name: A/C Change out
Lot No. 10
Block No.
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 4 Ton 16 SEER with 10 KW Electric Heater
for residential property.
CONSTRUCTION INFORMATION:
Additi%nal work to be performed under this permit –check all that apply:
V Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4183
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Yannick Cote
Address: 10208 Isle of Pines Court
City: Port St. Lucie State: Ft--
Zip Code: 34986 Fax:
Phone No. (408)313-2909
Name: Freddy Guillemi
Company: Indoor Air Care, Inc.
Address: 1934 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 344984 Fax:
Phone No (772)873-5003
E -Mail indooraircarepsl@gmail.com
State,or County License CAC 1816063
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
_ Signature'—of Owner/ L'es'see/Agent
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The frgoing instrument was acknowledged before me
this;_qday of Qr 1lxCe LI 204Lby
FREDDY GUtLLEMI
(Name of person acknowledging)
ature
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
this ` - day of JS r')U to , 20 JO by
FREDDY GUILLEMI
(Name of person acknowledging)
'*atiJre pAotary Public- State of Florida ffignAufalof 1 ry Public- State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No.0 &,;I- l 3' ��1 4�Y';tB,15eal) LIZETTE SOLOMON �ommiission No. GG I
MY COMMISSION #GG21136
EXPIRES: APR 25, 2022
Bonded through 1st State Insurance
Revised 07/15/2014
(Seiki TfE SOLOMON
MY COMMISSION #GG211369
EXPIRES: APR 25, 2022
Bonded through 1st State Insurana
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS