HomeMy WebLinkAboutBuilding Permit ApplicationAII APPTICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da:.r-.912412020 Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEM ENT LOCATION :
Address: 4400 Metzger Rd Fort Pierce, FL34947
Property Tax lD #: 2406'434'4001-000-2 Lot No,
Site Plan Name:Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of a 5 ton split system with 10 kW heat; like for like; 14 SEER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
_ WindowsfDoors
_ Roof _ Pitch_ Electric _ Plumbing
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: $ 66t+Utilities: _ Sewer _ Septic Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is S7,5OO or more, a RECORDED Notice of Commencement is required.
owNER/LESSEE:CONTRACTOR:
Ji;a6.r" Treasure Coast Moving and Storage Realty Co LLC
Address: 4400 Metzger Rd
City:Fort Pierce, FL State:
ZiP Code: 34947 Fax:
Pho ne 1t1s. 7 7 2-20 1'21 38
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner Iisted above)
Name: James J Wauters
Company:Just Chillin'HVAC LLC
Address:5422 NW Cromey St
City:Port St. Lucie StAtE: FL
ZiP Code: 34986 Fax:
phone Ns 772-940-4373
g-1y1 3 i1 justchillinair@hotmail.com
State or County 1-1ggn5s CAC1819351
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
Address:
City:State:
zip:Phone
MORTGAGE COMPANY
Name:
_ Not Applicable
Address:
City:State:
zig:Phone
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: _Phone:
OWNER/ CONTRACIOR 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 Countv makes no reoresentation that is srantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv doolicable Home Owfiers AsSoclation rules, bvlaws or and covenants that may restrict or prohibit such
structure. Please consult with iour Home Owners Association and review'your deed for any restrictions vrihich may apply.
ln 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
,.WARNIIUG TO OWITTER: YOUR FAILURE TO RECORD A ITOTICE OF COMiIEIUCEMENT iIAY RESULT IIU YOUR PAYING
TwlCE FOR IiIPROYEiIE]UTS TO YOUR PROPERTY. A NOTICE OF COiIMENCEMEUT MUST BE RECORDED AITID
posTED oit THE JOB SITE BEFORE THE FIRST IIUSPECT|ON. tF yOU TNTEIID TO OBTAIu FINANCIaUG, CONSULT
WITH YOUR LEiIDER OR AIT ATTORNEY BEFORE RECORDING YOUR NOTICE OF COIIIiIENCETEIUT."
STATE OF FLORIDA y' '
COUNTY OF 1l L-c, u
Personally Knovyn _ OR Produced ldentification
Name of person makindstatement.
STATE OF FLORIEA T I
COUNTY OF 17. L.r4Lr. €-'---.t-
The foreoine instrument
trris 3d aly ot 5tP
acknowledged before me
zoZo by
OR Produced ldentification \'/
)irse lrti Gomez
:,tH$,Htlll,ii*:*l
ractor as Agent for Owner
i!'-, Commission # G0:+. -
No. (Eft, t Vd'{-A,&Ss; I F*pi res : November
ZONING
REVIEW
SEA TURTLE
REVIEW