HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8-24-2020 1 Permit Number: 00o I? r7(� — 0 l —1
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9 a 'c9ff ° ° a - Building Permit Application
Planning and Development Services
Building and Code Regulation'Division Commercial X Residential
2300 Virginia Avenue, For Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Clover Park Chiller Plant
PROPOSED IMPROVEMENT LOCATION:
Address: 525 NW Peacock Blvd
Property Tax ID #: `33 � {r-5 oTT - Q-04 IriobV�p Lot No.
Site Plan Name: Block No.
Project Name: SLC Mets Stadium Chiller Replacement
I DETAILED DESCRIPTION OF WORK: I
Replace (1) existing Chiller, and (3) existing pumps
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
— I
_ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 234684.00 Utilities: —Sewer _Septic . Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St Lucie County
Address:3158 Will Fee Road
Name: Jack Walsh
Company:Trane Technologies
Address:2884 Corporate Way
City: Fort Pierce, FL State:—
Zip Code: 34982 Fax:772-462-1444
Phone No.772-462-1432
E-Mail:
City: Miramar State: FL
Zip Code: 33025 Fax:
Phone No561-398-6316
E-Mail michael.barnhart@tane.com
State or County LicenseCMC#1249843
Fill in fee simple Title Holder on next page (if different
-from the Owner listed above)
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: Salas O'Brien Florida, Inc.
MORTGAGE COMPANY: _ Not Applicable;
Name:
Address:
Address:3501 Quadrangle Blvd, Suite 100
City: Orlando State: FL
Zip:32817 Phone407-38M400
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: St Lucie County
Address:3158 Will Fee Road
City: Fort Pierce, FL
Zip: 34982 Phone:772-462-1428
BONDING COMPANY: _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 attornev before commencine work or recordine vour Notice of Commencement. . 1
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Digiially signed by: John K Walsh j .
DN: CN = John K Walsh email = jxalsh�dTrane.
John K Walsh;,,
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com C = US O = Trane U.S.Inc. OU = Contracting
`Date: 2020.08.2512:11:02-04'00' '
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Er �tiG C `
COUNTY OF B—rd
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
Physical Presence or x Online Notarization
this_c day of . 2020 by
this 25th day of August 2020 by
John K. Walsh
Name of person making statement.
Name of.person making statement.
Personally Known ve"' OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
LL
W.
(Signature ot Notary Publ
- $,t, of $RCW9AS. BQECKEL
ignature of Notary Public- State of Florida I
x =_ Commission # GG 980926
*
Commission No. 69
a Expil23, 2024
mmission No. ;._ tNCommsston GG096688
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