HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7
Date: 05/04/2020 Permit Number: 2QQ5�OQS 1
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a:r �Building Permit Applicatio ,4Y0 2020
Planning and Development ServicesBuilding and Code Regulation Division L r'2300 Virginia Avenue, Fort Pierce FL 34982 f i i(;1,�Phone: (772)462-1553 Fax: (772)462-1578 Commercial
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PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION
Address: 47 Aqua Ra Drive Jensen Beach,FL 34957
Legal Description: WINDMILL VILLAGE BY THE SEA UNITTWO(LOT 4 CLUSTER 2)FROM SECORSLKS RUN NOD DEG 13 MIN 10SECW211.01 FT TO PC OF CURVECONCSWLY,CA 89 DEG 5D MIN 28 SEC AND R25FT,TH NWLY ON ARC 39.20FT.T
TO PT ON CURVE CONC NWLY,CA 27 DEG 27 MIN01 SEC AND R 35 FT,TH SWLY ON ARC 16.66 FT,TH S 52 DEG 43 MIN 26 SEC E 30.40 FF,TH S 78 DEG 43 MIN 57 SEC E 67.82 Fr TO POB
Property Tax ID#: 4511-811-0022-240-5 Lot No.
Site Plan Name: Block No.
Project Name: HVAC system remove and replace with new
Setbacks Front Back: Right Side: Left Side:
Fi
DETAILED DESCRIPTION OF WORK:
Replace existing.Trane XR 13 HVAC system w/ like to like system & location with new Goodman 16
SEER 3 ton system Air handler Model ASPT47D14 and Condenser Model GSX160361 F. R41 0a. w/
10KW electric heater. Existing 240 panel and 60A breaker for AHU and 30A breaker for Condenser
are existing. Existing condensate line works and will be reused. Existing Thermostat will be reused.
CONSTRUCTION INFORMATION:
Additional work toe e orme un er t is permit—check a appy:
E:IHVAC 11 Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
FlElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1386 Sq. Ft.of First Floor:
Cost of Construction: $ 2500 Utilities:Sewer 0 Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
,.I,
Name Barret&Gretchen Englert Name: Owner
Address: Aqua Ra Drive Company: Self
City: Jensen Beach State:FL Address:
Zip Code: 34957 . Fax: City: State:
Phone No.904-669-9184;772-696-2949 Zip Code: Fax:
E-Mail:barretenglert@gmail.com;gretchenenglert@gmail.com Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN.LAw-INFORMATION:'
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Owner Builder Name:Omer Builder
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:Owner Builder Name:Owner Builder
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
P ,
Signature of Owner/ s /Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF �54 1. COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Ca day of 20"�17 by this day of 20_ by
ar d'fi y�
Name of person maki tement Name of person making statement
Personally Known OR Produced Identification .Personally Known OR Produced Identification
Type of Identificati Type of Identification
Produced r'' ),C—
(Signature
i L Produced
(Signature of Notay P - (Signature of Notary Public-State of Florida )
;;+"?� ;, AUD Y HUMP F2231
Commission No. MYCO�ON#GCommission No. (Seal)
EXPIRES:March 6
Bonded Thru Notary Public
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17