HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05-27-2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1.578
PERMIT APPLICATION FOR: Mechanical -A/C change out
PROPOSED IMPROVEMENT LOCATION:
Address: 8203 Santa Clara Blvd
Property Tax ID #: 1301-608-0010-000-6
Site Plan Name:
Project Name:
Lot No. 10
Block No. 87
I DETAILED DESCRIPTION OF WORK: f
Replace a/c equipment
Goodman 3.0 ton 14.0 SEER 10kw
Condenser Model: GSX140361 K Air Handler Model: ASPT35B14A
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-- check all that apply:
_Mechanical — Gas Tank —Gas Piping _ Shutters ^ Windows/Doors Pond
— Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard & Betsy Woodin
Name: William H. Britton, Jr.
Address: 2431 Atlantic Beach Blvd
Company: Buddy's A/C LLC
City: Hutchinson Island State: rL
Zip Code: 34949 Fax:
Phone No. 386-569-5034
Address: 8815 W Angle Road
City: Fort Pierce State. FL
Zip Code: 34987 Fax:
Phone No (772) 480-4631
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail buddysacilc@gmaii.com
State or County License CAC1820063
If value of construction is 2500 or more, a RECORDED Notice of Commencement is regwrea.
If value of WAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City- State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: xx Not Applicable
Name:
Address:
City:
Address:
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 thepermit 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencinR work or recording your Notice of Commencement.
Rev. 5/6)20
Signature of Contractor/Licerilta Holder
Signature of Owner/ Lessee/ tractor as Agent for Owner
STATE OF FLORIDA�
STATE OF FLORIDA
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COUNTY OF 3+. 1.._!16 e_
COUNTY OF +.i e.
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
( Physical Presence or Online Notarization
this �— day of\qA2020 by
this day of 2020 by
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Name of person making statement.
Name of person makingstatement.
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REVIEWS
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DATE
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Rev. 5/6)20