HomeMy WebLinkAboutBerger - Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 716/2020 Permit Number:
LCr,;
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772)462-1578
�PERMIT APPLICATION FOR:MECHANICAL A/C CHANGE OUT
Address: 7004 DELAND AVE FORT PIERCE FL, 34951
PropertyTax ID #: 1301-612-0190-000-4
Site Plan Name:
Project Name: BERGEN
A/C CHANGE OUT. LIKE FOR LIKE, TRANE. 3 TONNAGE, 15 SEER AND 8KW.
New Electrical Meter Second Electrical Meter
Lot NO
Block No. 127
Ad 'tional work to be performed under this permit — check all that apply:
echanical Gas Tank Gas Piping _ Shutters —Windows/Doors _ Pond
Electric Plumbing _ Sprinklers Generator — Roof Pitch
Total Sq. Ft of Construction:_
Cost of Construction: $ 6500.00
NameWILLIAM BERGER
Address:7004 DELAND AVE
City: FORT PIERCE State:
Zip Code: 34951 Fax:
Phone No.
E-Mail:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: i4 Y1 GI T If LA VIJu T 7
Company: PROMAG ENERGY GROUP A/C & HEATING
Address:3300 31TH STREET
City: ORLANDO State: FL
Zip Code: 32839 Fax:
Phone N0407-380-5560
E-MaiIPERM ITTINGPROMAGFNERGYGROUP@GMAIL
State or County LicenseCMCA48033
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zi p: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 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 re d in the public records of St.
Lucie County and posted on the jobsite before the first ins e tion. If you .nten obtain financing, consult
with lender or an attorneybefore commencingwork or r o in our tice of mmencement.
WI/_1 �J_/Yvi 1) (V L,—\
Signs e o Owner/ Lessee rac o l Agent for Owner
Signature of Contractor se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF o-NGE
COUNTY OF ORANGE
to(or affirmed) and subscribed before me of
Physical Pres e or Online Notarization
Iday of 2020 by
rn to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
is day of , 2020 by
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Name of person Makin tatement.
Name of person making statement.
Personally Known OR Produced Identificatior�
Personally Known OR Produced Identification
Type of Identification I
uced f`f 1 I c t0
Type of Identifica on
oduced __
i
( ignature of Notary Public- State of Florida)
Commission No. a �d LI ,1rs {) PRISILLA
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Signature of Notary Public- State oPR
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11, 2023
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