HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/5/2020 Permit Number:
COUNTY 'A
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 X
PERMIT TYPE: M ECHAN KCAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3732 SANDLACE CT PORT ST LUCIE FL 34952
CONTRACTOR:
Name PAMELA ELLIS
Property Tax ID #: 3425-706-0278-000-0
Address: 3732 SAND LACE CT
Lot No.8
Site Plan Name:
Address -904 SE DIXIE HWY
Block No. 53
Project Name: PAMELA ELLIS
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailADMIN@KCIAC.COM
State or County License CACI 818726
DETAILED DESCRIPTION OF WORK:
REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT
TRANE 4 TON 14 SEER W/ 10 KW HEATER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 117 it Sq. Ft. of First Floor:
Cost of Construction: $ 5�5 d0' 00 Utilities: _ Sewer _ Septic
_ Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PAMELA ELLIS
Name:TIMOTHY WOJCIESZAK
Address: 3732 SAND LACE CT
Company:KRAUSS & CRANE INC
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 772-812-5241
Address -904 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34994 Fax: 772-283-4055
Phone N0772-287-1227
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailADMIN@KCIAC.COM
State or County License CACI 818726
IT value of construction Is ,SZ500 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.
SU PLEMENTAL CONSTRUCTION LIEN LAW IN RMATION:
DESINER/ENGINEER: _ Not Applicable
Name
ORTGAGE COMPANY: Not Applicable
N e:
Addres .
Ad s:
City: State:
Zip: Phon
City: State:
Zip: one:
FEE SIMPLE TITLE HOLDER: _ of 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 n tested.
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"
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Signature of Own / Lessee/C ntractor as/Agent for Owner
Signature of Co ractor/Lice a Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
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COUNTY OF
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Type of Identification
Type of Identification
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