HomeMy WebLinkAboutMcNeillPermitSLC_20200320All APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
Application
Building Permit
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
PERMITTYPE:HVAC Equipment ChangeOut
?R_CP0 1 p Il1li;P,ROl1'EMENT LOCATION .. �- ��-
Address ��� �i—
Property Tax ID #: ���� "" �GLJ ✓ �'— Lot No.�_
Site Plan Name: Block No. ��
Project Name:
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Like for like AC replacement
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�CONSTRUCTION INFORMATION: _ — ----- —------- - -- --- — -- -
Additional work to be performed under this permit- check all that apply:
f Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �/�� Utilities: —Sewer _Septic Building Height:
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Name: Steve Smith
Name �'�� Sff %�h
Company: Steve Smith Air Conditioning
Address: y'ThCi /
Address:8001 Eden Road
City: " 1 State: Z�/
City: Fort Pierce State: FL
Zip Code: Fax:
Phone No. /�/�� 9�T %Z�,
Zip Code: 34951 Fax: 772-461-2036
E-Mail:
Phone No772-461-1425
E-Mailstevesmithac@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CAC1 813454
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.
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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
stlru ch is in structure. Please consult with your Hlome Owners Association andrreviewyyour deed for any restrict on which may appjyhibit such
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 PE JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOURILENDVC& AN ATTORNEY BEFORE RECORDING YOUR NOTICES COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORID�I►r
COUNTY OF S- - L u c.� F COUNTY OF J I ,Lur,
The forgoing instrument was acknowledged before me The for�� ing instrument was acknowledged before me
this L`Iday of "A c.0 204 by this i day of � 20by
���yEN �M 1T4 Sf�r✓Y.'� S,� I�
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification '>C_ Personally Known OR Produced Identification k'
Type of Identification Type of Identificationu
Produced D(L kyE;(L �-I �"' SE Produced L—
A�2-
ignat a of ota Public ---State of Florid ChristopherJ. r" nature Notary Public- State o Flo ' Stephanie I
NOTARY PLI LIC * NOTARY P
Commission No. 22�-1 j STATE OF 0130 aission No. FF gar 7Ae l STATE OF
Comm# GG 2758 . ; = Comm# FF
.a; _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
.;2,4-'02