HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 1 " • ` r` :i Permit Number:
® nailing 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: Mechanical
Address: 5637 Spanish River Road
Property Tax iD #: 1312-503-0032-000-8
Site Plan Name: Jorge Arana
Project Name: Jorge Arana
Lot No. 226
Block No.
HVAC Equipment Change Out; Make -Carrier, Air Handler Model: FX4DNF043L00; Condenser Model: CH16NA042000
Heater: 8kw; 15 seer, 39,500 BTU ; 3.5 Ton
Additional work to be performed under this permit—check all that apply:
,l,Mechanical _Gas Tank _Gas Piping _Shutters
1'
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5847.00
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jorge Arana
Name: Donald O'Bryon
Address- 5637 Spanish River Road
Company: Preferred Air Conditioning & Mechanical, Inc.
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-801-1008
Address: 1643 Donna Road
City: West Palm Beach State: FL
Zip Code: 33409 Fax: 561-478-0089
Phone No 561-689-1093
E -Mail: jorgearana01 @comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail tncia@preferrdacmech.com
State or County License CACI 817665
it value OT construction is>zsuu or more, a KtCUKutu Notice oT 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: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
Inconsideration 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 NOT14'E1 F COMMENCEMENT. -
Jorge Arana
OMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature -of Contra or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beaty
COUNTY OF Pam B as
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 10th day of January 20_ by
this 101h day of Jenua -- --. 20_ by
Jorge Arena
Donald W Baryon 4,
Name of person making statement.
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Name of person,makir(g statement.
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Persona lly.�Knowrf OR Produced Identification =
Personally Known OR Produced Identification
Type of Identification
Type of [den ti kation(' —
Produo�
Produced,.]
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(Signature of Not :`,State of FI
s `,:'- # GG 313394
(Signature ofPlp.
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� ;, myCOMMISSIO
No *'. ,- EXPIRE' �I18,2023
-Y ec.Commission - #�j,G 313394
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No. * *'-23BondedTh
No� WblicUndenvitersCommission
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, od�.�; Bonded ihr Notary Pub to Undenvrilers
REVIEWS
FRONT
ZONING
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DATE
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DATE
COMPLETED
Rev. 21 // 19