HomeMy WebLinkAboutBuidling Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01-27-2020
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) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: hvac replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 Tompson Point Rd, PSL, FL 34986
Property Tax iD #: 332770400200000
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2 ton system with Goodman 2 ton 16.0 seer w/5kw heater
Models GSX16024 & ASPT29B
I.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.
Block No.
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing T Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name Joel Buthray
Name: Tracy Steele
Address: 403 Sterling Rd
Company:Tracy D Steele Air Conditioning Inc
City. Jefferson State: �
Zip Code: 01522 Fax:
Phone No. 561-436-5027
Address: 2750 SW Edgarce St
City: Part St Lucie State: FI
Zip Code: 34953 Fax:
Phone No772-215-1974
E-Mail:
Fil# in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail tdsac@aol.com
State or County License CAC035553
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: 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 YOU(t NOTICE OF COMMENCEMENT."
Signature of Owrier/
STATE OF FLORIDA
COUNTY OF ST LUCIE
ractor as Agent for Owner
The forgoing instrurn t was acknowledged before me
this � day of 20 9,lDby
TRACY D STEELE
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Flori a
Commissl e l
Notary Public State of FkwWa
Signature of CodFracto Ticense Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 42� day of r 20 �by
TRACY D STEELE
Name of person making statement.
Personally Known ) OR Produced Identification
Type of Identification
Produced
a,
(Signature of Notary Public- State of Florida }
Commis )
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DATE
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DATE
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Rev. 2/7/19