HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-2-20 Permit Number:
WWWWWRI
COUNTY
F I n a I r.
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
PERMITTYPE: HVAC
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 1712 PONDBERRY LANE PORT ST. LUCIE, FL. 34952
Property Tax ID #: 3426-703-0156-000/3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
A/C system replacement 3 ton 16 seer American Standard with 10 kw heat
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank _ Gas Piping — Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5000
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles Wuensche
Name: Mark Hill
Company: Best Choice A/C Inc.
Address: 1712 pondberry lane
City: port st lucie State: _
Zip Code: 34952 Fax:
Phone No. 956-279-1213
Address: 332 sw Enon St
City: Port St lucie State: fl
Zip Code: 34953 Fax:
Phone No 772-871-5757
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License CAC1815606
If value of construction is 52500 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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 YOUR NOTICE OF COMMENCEMENT."
/41/z
Signature of Ow ssee ntr ftor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this ° % day of Aa!<4 , 20�: by
Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _q� day of klarZ l , 20,,)-? by
& K 14-11 ( � -&d< Lfg; f f
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification 11
Type of identific ion
rc* A�.71e,
Myrtle Norris
Produced I Y
o ary u lic, State of Florida
r . yigr My Commission Expires 04/21/2023
aA 4J :�.Ae� Commission No. GG 326189
(SignaVe of Notary Public- State of Florida )
Commission No. C-7c-�30�(4 i 0 (Seal)
Personally Known liProdgWLlrie iicatiQn��,
Type of Identification Pv A
Produced�, o, uB� Myrtle Norris
-Notary Public, State of Flc
- n vj ;lay My Commission Expires 04/2
1 nnA, d } I �Y I� . , p,EOFf40P, Commission No. GG 326'
(Signagre of Notary Public- State of Florida )
Commission No.GC_7'&ly1 (Sea()
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