HomeMy WebLinkAboutBUILDING PERMITDate:
Permit Number:
r MUULMAILSA
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: mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9644 Windrift Circle Fort Pierce, FL 34945
PropertyTax ID #: 2310-500-0083-000-8
Site Plan Name: Tashea Myers
Project Name: Tashea Myers
Lot No. 15
Block No. 3
HVAC Equipment Change Out; Make -Carrier, A/H Model: F64CNP042; C/U Model: CH14N6042POG; Seer: 16
Heater KW: 5; Tonnage: 3.5; BTU: 40000
Additional workto
be performed underthis
permit— cfieck all
that apply:
_Mechanical
_Gas Tank
_Gas Piping
_Shutters
_Windows/Doors
_Electric _Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4578.00
_Sprinklers _Generator
Sq. Ft. of First Floor: _
_Roof Pitch
Build'vngHeight:
Utilities: _Sewer _Septic
OWNER/LESSEE:: CONTRACTOR:
Name Tashea Myers Name: Donald O'Bryon
Address:9644 Windrift Circle Company: Preferred AC & Mechanical, Inc.
City: Fort Pierce State: _ Address:1643 Donna Road
Zip Code: 34945 Fax: City: WPB State: FL
Phone No. 754-777-1399 Zip Code: 33409 Fax: 561-478-0089
E-Mail: cutz1633@gmail.com Phone No 561-689-1093
Fill in fee simple Title Holder on next page (if different E-Mail tricia@preferredacmech.com
from the Owner listed above) State or County License CAC1817665
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.
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.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 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."
P
Tashee Myers
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm aeach
COUNTY OF Palmaaaa,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ash day of July , 20_ by
this am day of July . 20_ by
Tashea Myers
Donald O'Bryon
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Persbnally Kfibw�h x OR Produced Identification
Type of Identl cation >�
Typebf Identi i ation
Produ d or� a ee s` '
Produce
T
(Signaturebf.-Nofary Pu pc State of Florida"�� tg pp23
July'
tgntatur=e'`efNotary Pu SPt tifl �i J�htJISS:Oiv
31 S. ,RGS
# GG s1 o9a
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Bond Th Nerary Public Urdemmte
PIR S: July '13 2�2
Commission NO. GG313394
OmI11155idn NO. GG3'13394 nde �1q, Public UUnndcrv_
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