HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1212020
Permit Number:
J
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772I462-1578
Commercial Residential x
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
_
Address: 3210 NW Perimeter Rd.
Property Tax ID 4: 4436-510-0016-000-2
Lot No. 12
Site Plan Name: Tim Cann
Block No.
Project Name: Tim Cann
DETAILED DESCRIPTION OF WORK:
Change out like for like 4 ton 16 Seer Trane AC
split system wl 10kw heat.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank
— Gas Piping — Shutters Windows/Doors
_ Electric _ Plumbing
_ Sprinklers _ Generator T Roof Pitch
Total 5q. Ft of Construction: 6241
Sq. Ft. of First Floor: 2635
Cost of Construction: $ 6989
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTim Cann
Name: Frederick Miller
Acid ress:3210 NW Perimeter Rd
Company: Miller's Central Air
City: Palm City
State: r• .
Address:673 SW Carter Ave
City: Port St Lucie State: FI
Zip Code: 34990 Fax:
Phone No.7722602271
Zip Cade: 34983 Fax:
E-Mail:
Phone No772-785-8080
Fill in fee simple Title Holder on next page { if different
E-Mail laura@millerseentralair.com
State or County License5t. Lucie
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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: 1
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."
- --
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatu a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OFst LUde
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 12 day of March 20_ by
this i2 day of March 20^ by
Frederick Miller
Frederick Miller
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
oduced
LAU RA JEAN ALTMAN
„
• ;,: MY COMMISSION K GG 123i7
y�,:sr., LAURA JEANALTMA
ci EXPIRES: Jury M 2021
*.1 MY COMMISSION # GG 12
1
{Si nature of Notary Publi ry ° °ry ' ° e a
ignature of Notary Public- 5t ed} EXPIRES: 11, 202
B nded Thru Notory
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Commission No. S (Seal)
Public Undo
Commission No. ja?(Seal)
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v
DATE
RECEIVED
_
DATE
COMPLETED
ev. 2/7/19