HomeMy WebLinkAboutBurton - Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/7/2020 Permit Number:
S c LUCTR
�y IPT LBuilding Permit Application
Alarming and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:MECHANICAL A/C CHANGE OUT
Address: 7424 LAURELS PLACE PORT ST LUCIE FL, 34986
Property Tax ID ti: 3322-501-0015-000-4
Site Plan Name:
Project Name: BURTON
A/C CHANGE OUT. LIKE FOR LIKE:. TRANF_ 2 TONNAGE, 14 SEER AND 8KW.
New Electrical Meter Second Electrical Meter
Ad itional 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: $ 6500.00
NameROBERTBURTON
Address:7424 LAURELS PLACE
Lot No. 12
Block No.
Windows/Doors — Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
City: PORT ST LUCIE State,
Zip Code: 34986 Fax;
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: SHERRIED WATSON
Company: PROMAG ENERGY GROUP A/C & HEATING
Address: 3300 37TH STREET
City: ORLANDO State: FL
Zip Code: 32839 Fax:
Phone No4073805550
E-MaiiPERM ITTINGPROMAGENFRGYGROUP@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.
DESIGNER/ENGINEER:
_ Not Applicable MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
State:
City:
State:
City:
Zip: Phone
Zip: Phone:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
FEE SIMPLE TITLE HOLDER:
Name:__Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is heret)y made to ncaui a pei init ..�, u• - --- -
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
swhich is in tructure. Please conlict sth any ult ithpypoiurHome Owners Association and revible Home Owners Association ew your deed or any restrictions aws or and covenants that which marestricty apply. chit such
In consideration of the granting of this requested permit, 1 do hereby agree that 1 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 lobslte before the first inspection. if you intend to obtain financing, consult
with lender or an attorney before commencin wark o ordin our e o o ncement.
Owner Lessee/Contractor as Agent far Owner
STATE OF FLORIDA
COUNTY OF Orly W
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n to (or affirmed) and subscribed before me of
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COUNTER REVIEW
DATE
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DATE
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sism to (or affirmed) and subscribed before me of
7 ysical Pres .n or Online Notarization
day of V 2020 by
Name of person making statement.
Personally Known OR Produced identification
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