HomeMy WebLinkAbout7825 McCLINTOCK WAYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
t L-1 L CLL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
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: 7925 McCLINTOCK WAY
Property Tax ID #: 3424-800-0140-000-0
Site Plan Name:
Project Name: JOHN McNEELY
DETAILED DESCRIPTION OF WORK:
AC CHANGE OUT 4 TON 14 SEER 10KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 1
Block No. 74
Additional work to be performed under this permit —check all that apply:
Yvechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 6658.24
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN McNEELY
Name: MICHAEL FORGIONE
Address:7925 McCLINTOCK WAY
Company: UNIVERSAL AIR & HEAT
City: PORT ST LUCIE State:'f�
Zip Code: 34952 Fax:
Phone No.772-607-03783
Address: 5460 W STATE RD 84 #12
City: DAVIE State: FL
Zip Code: 33314 Fax: 954-318-0584
Phone No 954-581-7110
E-Mail: sssmileman@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@Uahac.com
State or County License CAC058142
If 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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _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 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 onfthe jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an atlorneifbefore commencing work or recording otce of Commencement.
Signature of Owjil/ ess /Contractor as Agent for Owner
n r Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF BROwARD
w rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence orOnline Notarization
Physical Presence or x Online Notarization
this day of 40 _ 22020 by
this 18 day of OCTOBER , 2020 by
r.
` O ,., e
MICHALE FORGIONE
Name of person making statement. s � R a
Name of person making statement.
Personally Known /` OR Produced Identific i�
Personally Known x OR Produced Identification
Type of Identification w r § �' S
Type of Identification
V G'^nWZ
Produced
Notbrit PWIC BdYe of Florida
(Signature of Notary Public- State of Florida ) g
(Signature of Notary PulbliKtfeI ri75�m agora"ision GG 1503e7
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Expires 02,02/2022
Commission No. (Seal) �=
Commission No. 02102/2022 J
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