HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 26, 2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: David Gordon
PROPOSED IMPROVEMENT LOCATION:
Address: 8100 Links Way
Residential X
Property Tax ID #: 3327-707-0015-000-1 Lot No. 11
Site Plan Name: Block No.
Project Name: Gordon AC Changeout
DETAILED DESCRIPTION OF WORK:
Change out like for like 1.5 ton 16 Seer split system with 5kw heat.
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
Total Sq. Ft of Construction: 2746
Cost of Construction: $ 5515.00
Sprinklers
Generator _ Roof
Sq. Ft. of First Floor: 2746
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name David Gordon
Name: Frederick Miller
Address:8100 Links Way
Company: Millers Central Air
City: Port St. Lucie State: _
Zip Code: 34986 Fax:
Phone No.7724678979
Address:673 SW Carter Ave
City: Port St. Luice State: FI
Zip Code: 34983 Fax:
Phone N08634671545
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail laura@millerscentralair.com
State or County LicenseCAC058675
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:
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:
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 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 Commencement.
Sig t re of Owner/ Lessee/Contractor as Agent for Owner
Signa e of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Part St Lucie
COUNTY OF Port St Lucie
Sworn to (or affirmed) and subscribed
before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or
Online Notarization
x Physical Presence or Online Notarization
this 26 day of August
2020 by
this 26 day of August 2020 by
Frederick Miller
Frederick Miller
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identificatio
Personally Known x OR Produced Identification
Type of Identification
�\'v
pe of Identification
Pr duced
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rodu ed
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Rev.5/6/20