HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3110/20 Permit Number:
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
PERMITTYPE:hvac
PROPOSED IMPROVEMENT LOCATION:
Addrp— 8108 Kiawah Trace
Property Tax ID #: � ` �o� V U 0 � � a 5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK
Install hvac split system 2.5 ton 14 seer 5 kw like for like
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 _ Generator _ hoof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ �2 00_,6 a
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGerard Napolitano
Name: Greg Chapdelaine
Company:A/C Express & Heating LLC
Address:8108 Kiawah trace
City: Port St Lucie State:
Address:491 NW Riverside Dr
Zip Code: 349683 Fax:
City: Port St Lucie State: FI
Phone No.718-444-5076
Zip Code: 34983 Fax:
E-Mail:
Phone No7722404857
Fill in fee simple Title Holder on next page (if different
E-Mailacexpress2@gmail.com
State or County LicenseCAC057139
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is requires_
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
ME 1TAk CO1 5TRU T1ON UE.N. LAW 11
ERIENGINEER: Not Applicable
;me:
address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
ORMATION.
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:,
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..
ure
w Lucie County makes no representationpme OwnerstAsssociationi rules,abylaws or and covenanit t ther at may restrict subject
prohibit such
which is in conflict with any ape
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
r.orri tencinir work or recording our Notice of Commencement.
Signatu of ner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA r
COUNTY OF LUG
The forgoing instrument was acknowledged before me
this 31 day of L �C(_ � 261-1 by
Ic
p / &C
Name of pedon rriaking statement..
Personally Known OR Produced identification_
Type of Identification
Produced
REVIEWS
FRONT
COUNTER
ZONING7REVI
REVIEWDATERECEIVED
DATE
COMPLETED
ev. 6/18
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF—
The forgoing instru ent was acknowledged efore me
this day of ' •� 2ojby
lei E,-,eName of rson making statement.
Personally Known OR Produced identificationType of Identifi onProduced �- L(Si atur N t ublic-Sae fFlor'd )
.�r'iJOSE TAPIA
Commission No - ublic - Stat4$ a
Commission A GG 215487
or �+ My Comm. Expires May 8, 2022
VISOR PLANS
W REVIEW
E A I A L NGROVE
REVIEW I REVIEW I REVIEW