HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
U L o L;� u L' ` Building Permit Application
Planning 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: A/C Change out
PROPOSED IMPROVEMENT LOCATION::'
Address: 8804 First Tee RD
Property Tax ID #: 3334-500-0059-000-8
Site Plan Name:
Project Name:
Lot No. 48
Block No.
DETAILED.DESCRIPTION OF WORK:
Replace A/C system. Same tonage and location. Also replace ductless A/C in garage.
// '5ee"
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: $ 5000.00
Sq. Ft. of first Floor: _
Utilities: —Sewer —Septic
Building Height:
OWNER/LES
,f,. SEE:
CONTRACTOR:
Name Stepheri'C-Sampson t'
Narne: Frank S Manna
Aidress: 8804 First Tee RD
Company: G.I. Air Cond. & Htg. Inc.
City: ;Port Saint Lucie, FL State:_
ZIp Code 34986 Fax:
Phone No. 401-245-1517
Address: 2700 Placid Ave.
City: Ft. Pierce State: FL
Zip Code: 34932 Fax:
Phone No 7723373020
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail service@giaircond.com
State or County License CAC05BO50
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.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: 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 recorde the public records of St.
Lucie County and posted on the jobsite before the first inspection yu intmd obtain financing, consult
with lender or an attornev before commencine work or record' vo r Nodi Commencement.
Kev. b/b/LU
Signature of Owner/ Lessee/Contractor as Agent for Owner
Sirature of ntrac or/License Holder
STATE OF FLORIDA
TATE OF FLORIDA
COUNTY OF
COUNTY OF � • Lu ct
Sworn to (or affirmed) and subscribed before me of
Swor to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 2020 by
Th- 70(949of LI 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known v'**� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produce
(Signa t a of Nota P I'" of F
NO1a I c -State of Florida
(Signature of Notary Public- State of Florida)
Commission # GG 948346
Mar 6, 2024
Commission No. (Seal)
Commi ion No. —,�e My Comq,%piF s
Bonded through National Notary Assn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Kev. b/b/LU