HomeMy WebLinkAboutBuilding PermitAll APPLICABLE I FO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.982 Residential
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: HVAC Equipment ChangeOut
Address:
Property Tax ID #:
Site Plan Name:
Project Name:
Like for like AC replacement
Additional work to be performed under this permit— check all that apply:
�ilechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: --
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Lot No. ll
Block No.
.0o
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
Name 4-'
Address: D '1��
City: State:
Zip Code:�l/%�% Fax:
Phone No. 772'—
Z-1071
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
n�,n„• Steve Smith
r-r%rnnnny.Steve Smith Air Conditioning
A,1,a,.,«.8001 Eden Road
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-461-2036
Phone N0772-461-1425
E -Mail stevesmithac@aol.com
State or County License CAC1 813454
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.
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 T E JOB BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y LENS) y ATTORNEY BEFORE RECORDING YOUR NOTICF„04 COMMENCEMENT:"
L v r P-
Signature of Owner/ Lessee /Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORITkT
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COUNTY OF _U �N G COUNTY OF
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The forgoing instrument was acknowledged before me
this _[61yday of L 4 4. , 20A by
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Name of person making statement.
Personally Known OR Produced Identification
Type of Identification L I �, s E
Produced 17 L%VER-
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G NOTARY PI
Commission No. 22-21 �� STATE OF I
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REVIEWSI FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
The for�ing instrument was acknowledged before me
this � day of /M .4_20 2 by
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Name of person making statement.
Personally Known OR Produced Identification k
Type of identifica�tionu �
Produced
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