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Home My WebLink AboutWoodin - 7105 Sebastian Rd - Permit AppPLANNING & DEVELOPMENT SERVICES r I BUILDING & ZONING DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34482 (772) 462-1553 FAX 462-1578 CHANGE OF CONTRACTOR SUBCONTRACTOR OR CANCELLATION OF PERMT PLEASE SELECT ONE OF THE FOLLOWING: X CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner, and the new contractor of record for the current permit. A new permit application must also be completed with new contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to commencing any work. There is a $50.00 fee for the Change of Contractor. CHANGE OF SUBCONTRACTOR — Subcontractor changes are to he completed by the general contractor. The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub - Contractor. _ CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done. Cancellation of permit is to be signed and notarized by both the owner and Qualifier of record. There is no fee for cancellation of the permit. Date: 04/06/2020 Site Address: 7105 Sebastian Road, Ff. Pierce 34951 AC Buddy, Inc. Original GC, subcontractor or owner/builder Buddy's A/C LLC New GC, subcontractor Permit Number: SLC1810-0654 License CAC1818909 SLC License License CAC1820063 SLC License Reason for Cancellation AC Buddy Inc. closed and permit is expired The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all costs, fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of permit_ A permit cannot be cancelled if work has been performed. Z._ Q4-'M SIGNATURE OF OWNE (or owner/builder) SIGNATURE GENERAL C NTRACTOR (or new GC, as applicable) PRINT DAME Ashley E. Woodin State of Florida, County of St. Lucie County The following instrument was acknowledged before me this -A day of Ft% 2D.1Q, by E .Wood ' n who is personally knoMjo me or produ as II]. !06/2020 gnature of Notary Date �,,SARYgss Krishna R. Parsons i%40TARY PUBLIC Revised 04/15/16 STATE OF FLORIDA y Comm# GG090836 slNeExpires 4123I2021 PRINT NAME William H. Britton Jr. State of Florida, County of St. Lucie County The following instrurnent was acknowledged before me this _&�tdsy of R flril 20.1Q, by l {} d0—i Y1 44 .'BrAon Jr.who is pen;onally ]mown to me rignatareol'Notary o has pr rc T as ID. 04/06/2020 Date �diARYq Kristina R. Parsons NOTARY PUBLIC o STATE OF FLORIDA W Comm# GG090836 siN�'All� Expires 4/23/2021 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - 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 XX PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 7105 Sebastian Rd. Property Tax ID #: 1301-614-0148-000-1 Site Plan Name: Project Name: Lakewood Park DETAILED DESCRIPTION OF WORK: Replace a/c equipment, like for like Goodman 2.5 SEER with 8kw electric heat Condenser Model: GSX140301 Air Handler Model: AVVUF310816 LCONSTRUCTION INFORMATION: Lot No. 14 Block No. 162 Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors — Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 Sprinklers _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Ashley E. Woodin (TR) Name: William H. Britton, Jr. Address: 7703 Lakeside Way Company: Buddy's A/C LLC City: Fort Pierce State: _ Zip Code: 34951 Fax: Phone No. 772-940-2109 Address: 8815 W Angle Road City: Fort Pierce State: FL Zip Code: 34947 Fax: Phone No (772) 480-4136 £-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail buddysacllc@gmail.com State or County License CAC1820063 it value of construction is �Z500 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: xx Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 Contractor icense Holder Signature of Owner/Lessee/Contractor as!A ent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF st Lucie COUNTYOF St Lucie The forgoing instrument was acknowledged before me this � day of j� j by The for oing instrument was acknowledged before me this (-M day of Al2ri I 20 & by _. 120,26 . William H. Britton Jr. William H. Britton Jr. @ Name of person making statement. Name of person making statement. �' I o Personally Known Xx OR Produced Identificgia 49 Personally Known XX OR Produced Identificati&u-N cv Type of Identification La m O Type of Identification } O'6 Produce NIA 4 0_ N Produce NIA CD F R'y 00 tt in Q fMi U,: Lu �A � - } 4lJ� l/ ZNA O %�/L0 G1AT y 4(ature (' nature of Notary Public- State of Florida } 1AT H of Notary Public- State of Florida Ig da r oy Y� Commission No. GG094836 Seal (Seal) 4 ,� GG090836 Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.