HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - 2 UNITSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 10614 S US Hwy 1, Port St. Lucie, FL 34952, USA
Property Tax ID #: 3414-501-5001-050-5
Site Plan Name:
Project Name: AC CHANGE OUT
DETAILED DESCRIPTION OF WORK:
Install one new carrier straight cool air conditioning system 2 tons 14 seer with 5 kw heater AND
Install one new carrier straight cool air conditioning system 2 tons 16 seer with 5 kw heater
For commercial building.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. —
Block No
Additional work to be performed under this permit— check all that apply:
LMechanical , Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 8709
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Carlos Ramirez
Name:Freddy Guillemi
Address:10614 S US Highway 1
City. Port Saint Lucie State: _
Zip Code: 34952 Fax:
Phone No. 772-380-0610
Company: Indoor Air Care, Inc
Address:1934 SW Biltmore street
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone N0772-873-5003
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail indooraircarepsl@gmail.com
State or County License CAC1816063
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNE
Name:_
Address:
City: _
Zip:
NGINEER: x Not Applicable
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:_
x Not Applicable
State:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:
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 recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Coammencement.
Signature of Owner/ Le
STATE OF FLORIDA
COUNTY OF
Agent for Owner
Sworn to (or affirmed) and subscribed before me of
L Physical Presence or Online Notarization
this � day of ,u �, 2020 by
Name of person making statement.
Personally Known V OR PMExplres8/5/2024
er'i �Fi **8 M"a
Type of ,entification Notary Public
Produ _ S�e of Florida
Comm# HH028828
ttWre of Notary Public- State of Florida )
Commission No. 14 1102 9-8 2 a (Seal)
Signature of Contr
STATE OF FLORIDA /-
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
'—'Physical Presence or Online Notarization
this j_q_ day of 2020 by
ied&'14 far l i C' i�ir i
Name of person making statement.
Personally Known li OR Produced IdentificaiSio
Type of 1 tification �o�a-y� Alba Ninoaka Flaw
Produc v Notary Public
e of Florida
Gomm# HH028828
o/c MMA
(S na re of Notary Public- State of Florida )
Commission No. 14 H 0),S$ z8 (Seal)
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