HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2020
Permit Number:
O
Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:hvac Change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 7270 Reserve Creek Dr
Property Tax I D #: 332260100140004
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 & RH1T3617
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
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
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
Sprinklers _ Generator W� Roof Pitch
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE: CON
NameAdam Ball
Nam(
Address:7270 Reserve Creek Dr Comr
City. Port St Lucie State: _ Addr(
Zip Code: 34986 Fax: City: I
Phone No. 772-618-3932 Zip Cc
E-Mail: PhonE
Fill in fee simple Title Holder on next page ( if different E-Mai
from the Owner listed above) State
TRACTOR:
-Tracy Steele
any: Tracy D Steele Air Conditioning Inc
ss:2750 SW Edgarce St
'ort St Lucie State: Fl
de: 34953 Fax:
No 772-336-2448
tdsac@aol.com
)r County License CAC035553
If value of construction is 2500 or mare, 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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
city:
City:
Zip: Phone:
Zip: Phone:
nWIUF:R/ r'nAITDAf rno Ac1r'1n%11r.
- ---- -- - ^ ••• i —v,1. r• poiLduun 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 our Notice of Commencement.
Signature of Owner/ Lesse /Con a r as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 14 day of SEPT. 2020 by
Signature of Contrpctor/nse Holder
STATE OF FLORIDA Y�
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 14 day of SEPT Z020 by
TRACY D STEELE TRACY D STEELE
Name of person making statement. Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
Produced
C15
(Signature of Notary Public- Sta of F o i a
Commission No. >ry tau S or Florida
aniel F
_ My Commission GG 251653
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REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of orid�
Commissifj*rVJJ!S my ConvrKuion Gr. 251653
S REVIIEWOR � REVIEW VEV EWON S EV EWLE T
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