HomeMy WebLinkAboutCounty AC permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/7/2020
M
COUNTY
J
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Air Conditioning
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 11 Lake Vista Trail Unit 204. Port St. Lucie, FI 34952
Property Tax ID #: 3422-500-0151-000-3
Site Plan Name:
Project Name:
IFDETAILED DESCRIPTION OF WORK:
Install new Goodman 2 ton, 15 sear straight cool split system with 5kw heat
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,200
Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Mike & Ellen Daignault
Name: Lee Baker
Address: 11 Lake Vista Trail Unit 204
Company: A/C Enforcement, Inc.
City: Port St. Lucie State: _
Zip Code: 34952 Fax:
Phone No. 772-224-2449
Address: 1849 SW Altman Ave.
City: PSL State: FI
Zip Code: 34953 Fax:
Phone No 772-359-4504
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lee@makoconstruction.com
State or County License CAC1818170
It value of construction is 52500 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.
SUPPL IVENT ►tCONSTRILICT ON LIEN LAW N
ORMATIOR.
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
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."
nature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA,
COUNTY OF 7+.LAA(_'
The for oing instrument was acknowledged before me
thi day of 20;Z by
e L.
Name of person making statement.
Personally Known V' OR Produced Identification
Type of Identification
Produced
(Signature of Notary
Commission No.
e
Notary Pubfic State of Florida
Katherine LeWrnte
F My Cort(�N0.$n 2G 120188
Expires
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119