HomeMy WebLinkAboutPermit Application (Trane)I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
ApplicationBuilding Permit
Planning and Development Services
Building and Code Regulation Division
rr Virginia Avenue, Fort Pierce FL 34982
Address: 900 N Rock Rcad Fort Pierce, FL 34945
Property Tax ID #: 2311-210-0000 000 6
Site Plan Name: St Lucie County Jail
Project Name: St Lucie County Jail HVAC Upgrade
Exact Replacement of 450 ton centrifugal chiller
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:
Cost of Construction: $ 191,172.00
Sq. Ft, of First Floor: _
Utilities: _ Sewer _ Septic
Lot No.
Block No. _
_Windows/Doors
_ of Pitch
Building Height:
pWNER/I.ES,S��;' '
CON7RACTQR�
Name St. Lucie County
Name: John Kenneth Walsh
Address: 2300 Virginia Ave
Company: Trane
_
City: Fort Pierce State:
Zip Code: 34982 Fax: 772-362-1704
Phone No.772-262A700
Address: 2884 Corporate Way
City: Miramar State: FL
Zip Code: 33026 Fax:
Phone No 954-499-6900
E-Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail stephen.landry@lrane.com
State or County License CMC1249843
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.
SOPP, EMENT 4 ONSTRIlCT1 3N 4#EN IA1111
fNFORMATIQN:
DESIGNER/ENGINEER: —
Name: SV'.(aS 06nevi
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address: 35pi
ggka yak, ,e;jvd
JAiM 100
Address:
City: r lkndG VStater
Zip: 3 1 K Phone v'-
— c� `/UO
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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
"WARNING
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
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 Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE Of FLORIDA STATE OF FLORIDA
COUNTY OF Ss COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me
this�dayof (y"W.n 20�% by
��...^ea'-wry �ftCs L6 fit
Name of person making statement.
Personally Known '"� OR Produced Identification
Type of Identification
of
Commission
MEUSSAS.BOECKEL
�4@QV4sion # GG 980928
ExpiresApri1 to, 2824
Boded TI" Troy Fain Insurance
The forgoing Instrument was acknowl
edged before me
this 301h day of April , 20_ by
ry
Stephen Land
Name of person making statement.
Type
of
Known X OR Produced Identification
No.
Florida
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