HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/9/2020 Permit Number.
�o �ULF C1IL -
L L C: l ,- 0 C.' Ati —.-
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: AC Change -out
PROPOSED IMPROVEMENT LOCATION:
Address. 6015 Palm Drive, Fort Piero, FL. 34982
Property Tax ID #: 3402-609-0565-000-0
Site Plan Name:
Project Name:
f DETAILED DESCRIPTION OF WORK:
System change -out:
Residential x
Existing: 2.5 ton, straight cool, split system, 8 kw heat. condl3AJA30A01 1 AH 21AHBA36HMJ507
New: 2.5 ton, straight cool, split system, 8 kw heat. cond 4A7A6030J1000A 1 AH TEM6AQC36H31SB
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5000
Sq. Ft. of First Floor:
Lot No. —
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Glennon
Name: ,fared Taibl
Address: 6015 Palm Drive
Company: Top Standard Incorporated
Address:697 SW Dairy Rd.
City: Fort Fierce State:
Zip Cade: 34982 Fax:
Phone No. 772-579-1360
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 833-872-2776
E-Mail: b€Ilglennon@netscape.net
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail topstandardac@gmail.com
State or County License CAC1818900
Ir VORAC ui e.UMMI WAILPn is cave or more, a KCLUKUtU motice of Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
❑ESIGNER/ENG[NEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 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 1 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 Corn mencernent must be recorded in the public records of St.
Lucie County and posted on the jobs ite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our NotLce of Commencement.
Signat of Owner/ see/Contractor as Agent for Owner
Signature ontractor/Lic Holder
STATE OF FLORIDA
COUNTY OF � _ ' e-
STATE OF FLORIDA
COUNTY OF F�,��-[ti_�_
Sworn to (or affirmed) and subscribed before me of
./ Physical Presence or Online Notarization
this €4 day of (:( c'l —= 2020 by
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this 'L day of tL&7 _ 12020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced identification ��
Personally Known OR Produced Identification
Type of Identification
Type of Ide tification
Produced
Produced
_,,? v _ ., FERNANDO SE TAhCCURT
Notary Pubk -state of Florida
p64TF�CG
T
a
a
00111
(Signature of Lary Public- -ri g��rsr'Exp;res Mar ::, 2022
Bande4 through Natiorlal Notary Assn
Commission No.
(St nature of otary Public- State Fl ; sotaY u
br �Q,nrciS=iCn` Gar}1.
K,� r: , �xP r�s -
[ C�{i� [4i� htiaC ` hD
Commission No. '�allo g °
..... aot
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
22
'W'.