HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/28/2020 Permit Number:
&W
COUNTY
F.. L. 0 R. I r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: Mechanical/HVAC Residential - Replacement System
PROPOSED IMPROVEMENT LOCATION:
Address: 9119 Champions Way, Port Saint Lucie, FL 34986
Property Tax ID #: 3334-501-0083-000-8
Site Plan Name:
Project Name: A/C Change out
Lot No. 5
Block No. B
DETAILED DESCRIPTION OF WORK:
Remove old AC system and install a new air conditioning system 4 Ton 16 SEER with 10 KW Electric Heater
for residential property.
CONSTRUCTION INFORMATION: 1
Additional work to be performed under this permit –check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers , Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5069
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name James & Donna Sanfilippo
Name: Freddy Guillemi
Address: 30915 Pebble Beach Oval
Company: Indoor Air Care, Inc.
City: Westlake State: C_H
Zip Code: 44145 Fax:
Phone No. (216)469-7165
Address: 1934 SW Biltmore St.
City: Port St. Lucie State: FL
Zip Code: 344984 Fax:
Phone No (772)873-5003
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail indooraircarepsl@gmaii.com
State or County License CAC 1816063
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. I I
_ Signature of
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The f rggg instru , nt was acknowledged b fore me
this 12 day of q.:'I / 20: y
FREDDY GUILLEMI
(Name of person acknowledging )
Notary Public- State of Florida
Signature
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
The forgoing instrurgent was acknowledged before me
this`day of ✓1 I 201 by
FREDDY GUILLEMI
(Name of person acknowledging )
re of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
LIZETTE SOLOMON
MY COMMISSION #GG211369
EXPIRLb: APH 25, 2022
Bonded through 1 st State Insurance
Commission No�&G")41
LIZETTE SOLOMON
MY COMMISSION #GG211369
EXPIRES: APR 25, 2022
Bonded through 1st State Insurance
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