HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09-07-2020 Permit Number:
Iv ° 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: A/C change out
PROPOSED IMPROVEMENT LOCATION:
Address: 112 Oneida Way, 34946
Property Tax I D #:
Site Plan Name:
Project Name: —
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment, like for like
Grandaire 4.0 ton 14.0 seer package unit WITH 10kw heater
Model # WJA448000K
New Electrical Meter Second Electrical Meter -
CONSTRUCTION INFORMATION:
Residential xx
Lot No.
Block No.
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: Sq. Ft. of First Floor:
Cost of Construction: $ 4300.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name Michele Landestoy 1 John Howell
CONTRACTOR:
Name: William H. Britton, Jr.
Company: Buddy's A/C LLC
Address: 112 Oneida Way
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No. 772-332-8720
Address: 8815 W Angle Road
City. Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No (772) 480-4631
E-Mail:
E-Mail buddysacllc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CAC1820063
if value of construction is 2S00 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: xx Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
BONDING COMPANY: xx 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 contlict 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 recordin our Notice of Commencement.
�a=b�:a nr wm�n. nam.•- William H. Britton, Jr. i�iswgoa.
William H. Britton, Jr. 0 2M MN t3MIJIa vv
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF si Lucie
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 —- Online Notarization
this � day of S' p� 2020 by this � day of Sep: J 2020 by
William H. Britton Jr- WiNom H. Britton Jr -
Name of person making statement. Name of person making statement. N
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Personally known xx OR Produced Identification Personally Known xx OR Produced IdentifiRam$c5,_N__.._
Type of I ntification Type of Id tification a. � (D �
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Produc � ® � N Produce m � � �
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(i nature of Notary Public- State of Florida } o ( nature of Notary Public- State of Florida) �s
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