HomeMy WebLinkAboutBuilding Permit Application1/24/2020
Proposal
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/24/20
AJannrng and Devetop mentServices
Building and Cede Regulation Division
2300 Virginia Avenue, Fors Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMITTYPE:HVAC Mechanical A/C Changeout LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 6815 Thoreau Terrace Port Saint Lucie FL 34952
Property Tax ID #: 3415-705-0021-000-0 Lot No.20
Site Plan Name: .... ..
OLEANDER PINES BLK 1 LOT 20 (0-22 AC) (OR 3501-2823) Block No. �
Project flame: A/C Change Out INSTALL RHEEM 4 TON 16 SEER 10 KW HEATER LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:
A/C Changeout INSTALL RHEEM 4 TON 16 SEER 10 KW HEATER Straight Cool Split System LIKE FOR LIKE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
)( Mechanical
Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor,,-1
Windows/Doors
Cost of Construction: $ 5.500.00 Utllffies-. � Sewer � Septic Building Height
P itch
OW N E R/LESS E E: CONTRACTOK,
NameStephanie Kisloski Name: -Kelly Certosirno
Address. 6815 Thoreau Terrace Company.Air Temp Air Conditioning
City: Port Saint Lucie State: Address: 1 384 NW Commerce Centre Drive
Zip Cache: 34952 fax: ���y; Port Saint Lucie State: FL
Phony No.���-��1-�'�59 Zip Code: 34986 fax:
E-M a1 1: Skislaski 1 @Yah oo. co Phone No772-340-0740
Fill in fee simple Title Holder on next page (if different E-M ai! airtempac@yahoo _com
from the Owner listed above) State or County Lice nseCAC 1814$3?
If value
of construction i
0 or
more., a RECORDED Not'ke of Commencement is required;
If vie
of HVAC is $7,500
or more,
a RECORDED antics of Commencement is required.
https-.1/app.oncallair.coml#/view/ar,cepted/030233e8l C409cbOOdl fd7 f dd ba aO 7 bb 0 O 0 1 / 1 4 / 4 /
114100
Proposal
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
citym State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address}
City:
i
Zip: Phone:
OWN ER/ CONTRACTOR AFFIDVIT: Application 'is hereby made to obiair� a permit to do the work aid instaflatian as indicated.
certify that no work or installation has commenced prier to the issuance of a permit.
t. Lucie County makes no representation that is grantAing a rm it will authorize the permit holder to build the subject structure
which is in con I ict with any applicable Home Owners Assoc ation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuft 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
i n ac o rda nce with the a pproved pla ns, the Florid a Bu 11d ing Codes a nd St. facie County Amend ment .
The follc)wing 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 FINA CIN , CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENC E +I E I T.5-7
Signature of Owner/ lessee/Contractor as Agent for Owner
STATE OF FLORIDA.
COUNTYOF-----
The fup;ng i n tr u � twas acknowledged before me
thisit day of 20 ?C by
Name of perms making statement.
I /
Personally [mown OR produced Identification
Type of Identification
Prod ue
11
'Signature of Notary Pubrie-Mate of Florida }
Commission Na h e (Se'all)
mow+' Kota Pu�i1Ic #atE Of Floncia
REVUE Sz° ,��+ne o rBOMOM
SUPERVISOR
REVIEW
Signature of Contractor/License Molder
STATE OF FLORIDA i
COUNTY OF
The forgoing instr mint was acknowledged before me
this 0ay of ' - o 20M by
C
a e f perso main statement. -
Personally Known OR Produced Identification
Type of Identification
Produced
(Signa-ture of Notary Pu
Commission
PLANS
REVIEW
J46- Stale of -Florida')
4(6 I (Seal)
pr Notary
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DATE err Ir
E C E I
DATE
COMPLETED
ev. 2/7/19 IFIOW3
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Public State O# Fiona
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