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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03-01-2020 Permit Number; • 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 PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 6904 Bronte Circle Property Tax ID #: 3415-705-0128-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential xx Replace a/c eqipment, like for like Goodman 4.0 ton 14.0 SEER with 10kw electric heat Condenser model: GSX140481 K Air Handler Model: ASPT49C14A CONSTRUCTION INFORMATION: Lot No. 127 Block No. 1 Additional work to be performed under this permit —check all that appiy: Mechanical Gas Tank Gas Piping _ Shutters _ Windows/Boors Electric _ Plumbing — Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: Sq, Ft. of First Floor: Cost of Construction: S, 4500 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Maria Santos LLC Name: William H. Britton, Jr. Address: 6444 NW Hacienda Ct. Company: Buddy's A/C LLC City: Port St. Lucie State: PL Address: 8815 W Angle Road Zip Code: 34986 Fax: City: Fort Pierce State: FL Phone No. 56-1577-0858 Zip Code: 34947 Fax: E-Mail: Phone No (772) 4804136 Fill in fee simple Title Holder on next page ( if different E-Mail buddysacflc@gmail.com State or County License CAC1820063 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: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address_ City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: A Not Applicable Name: BONDING COMPANY: X 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 INSFECTlION. IF YOU INTEND TO OBTAIN FINANCINIG, CONSULT wrrrt YOUR LENDER OR AN ArroRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/C t ctor as Agent for Owner Signature of Contractor/Licen older STATE OF FLORIDA STATE OF FLORIDA COUNT( OF �� Lea COUNTY OF . L-U.C..I e- _ The for oing instrument was acknowledged before me this day of W@ r&N . 20,2Q by The forgoing instrument was acknowledged before me this _Lt—t day of rl'h 201L by 1 h eJ V. , } f _ W�71' U I Dame of person making statement. Iname of person making/statement. Y Produced Identification Personally Known OR Produced Identification Personally Known OR Type of Identification Produced ri IaA Type of tdentifcation Produced nl a (i ature of Notary Public- State of F rida )Kristina R. Pars011s A$soo PUBLIC (Sign Lure of Notary Public- State of aQMa )ostina a �o� soy, NOT PUBLIC �R� NOTARY Commission No.CGG09083�a 5 STATE OF FLORIDA Commission No.66 09DS3 E OF FLORIDA a Comm# GG090836 s Comm# GC,094836 aA 9119021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.