HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/02/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498.2
Phone: (772) 462-1553 Fax: (772) 462-1.578
PERMITTYPE:hVec change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 3240 NW Perimeter Rd
Property Tax ID #: 443651000180006
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Replace existing 3 ton system with Ruud 3 ton 16.0 seer w/8kw heat
Models RA1636 & RHIT3617
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
ZMechanical _ 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: $ 4900.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name Marilyn Piechota
CONTRACTOR:
Name:Tracy Steele
Address:3240 NW Perimeter Rd
Company: Tracy D Steele Air Condintioning Inc
Address: 2750 SW Edgarce St
City: Palm City State:
Zip Code: 34990 Fax:
Phone No. 772-485-3285
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No 772-336-2448
E -Mail:
Fill in fee simple Title Holder on next Page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
If value of MVAC is $7,500 or more, a RECORDED Notice of Commencement
E-Mailtdsac@aol.com
State or County LicenseCAC035563
Commencement is required.
is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
to obtain a permit to do the work and installation as indicated.
issuance of a permit.
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made
I certify that no work or installation has commenced prior to the
St. Lucie Countttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conclihprlesssoia ioarvyfcovenants that nprohibit
ly bit such
structure, Please consult with Home OwnnAcnndreiewyour deed or any restrictions which may restrict ap
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 , Le ee Contractor as Agent for Owner Signature of Co tra or icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The r, forgoing instrument was acknowledged before me
this day of j 20"2,by this e day of
Tracy D Steele Tracy D Steele
Name of person making statement. Blame of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
ti• !
(Signature of Notary Public- State of Florida j
Commission
Notary Public St■M of Fbrids
VNTXpires
AllyCo issian GG 23
REVIEWS a RG `
DATE
RECEIVED
DATE
COMPLETED
Personally Known X
Type of Identification
Produced
OR Produced Identification
�_.
(Signature of Notary Public- State of Florida )
Commission
VISOR PLANS
FW REVIEW
Notary Public Stats of Florida
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