HomeMy WebLinkAboutSLC permit CRAWFORDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2020 Permit Number:
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I? 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:hyac change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 1880 Tilton Rd
Property Tax I D #: 341450105121506
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3 ton system with Ruud 3 ton 16.0 seer w/10kw heat
Models RA1636 & RH 1 T3617
New Electrical Meter Second Electrical Meter
Residential x
Lot No.
Block No.
CONSTRUCTION INFORMATION: I
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: $ 5000.00 Utilities: _ Sewer _ Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
NameThomas Crawford
Name:Tracy Steele
Address: 1880 Tilton Rd
Company:Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: ` •
Zip Code: 04952 Fax:
Phone No. 772-528-2710
Address: 2750 SW Edgarce St
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone N0772-336-2448
E -Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mailtdsac@aol.com
State or County LicenseCAC035553
It 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:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 Nome 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 commencing work or recording your Notice of Commencement.
Rev.
A
Signature of Owner/ Lesse /Can ra r as Agent for Owner
Signature of Contr ctor/ i nse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY iJOF STLUCIE
COUNTY OF STLUCIE
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 14 day of SEPT. 12020 by
this 14 day of sEPT _ , 2020 by
TRACY D STEELS
TRACY D STEELE
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- Stat of F o i a
(Signature of Notary Public- State of-176rida
NoWy Pu 5 d Fftda
Commission No. Sniel F
CommissiO�'P"11Pr� eiOrK a
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My Comeniuie�n GG 251853
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.