HomeMy WebLinkAboutIsland club application 2 ton unit #6ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10120/2020 Permit Number.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9200 One Putt Place Club House
Legal Description: Island Club House
Property Tax ID #: 3334-501-0005-000/8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No._
Block No.
Change out like for like replacing Lennox 2 speed, 2 ton ac unit with carrier 2 speed 2 ton AC,
condenser CA17NA024, and air handler FV4CNF002L00, 16 SEER, 5 kw heat.
N❑amonai worK to U8 ertormed under thispermit — c ec c a app y:
HVAC Gas Tank 0Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq,. Ft. of First Floor:
Cost of Construction: $ $4800.00 Utilities:LJ Sewer IlSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PGA Village POA Inc.
Name: Keith Thompson
Address: 2140 Reserve Park Trace
Company: AC Keith Inc.
City- Port St Lucie State: FL
Zip Code: 34986 Fax: n/a
Phone No. 561-$66-8110
Address:
City: Port St Lucie State: FL
Zip Code: 34953 Fax: n/a
Phone No. 772-519-1351
E -Mail: dianeb@langrmanagement.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: ackeithl@att.net
State or County License: CAC1813976
- -••-w •.—I,.•.. II - q,jVV u1 Iurr, a rc[4VI%UGU IVOUCe OT Lore men cement Is reg Uired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
Name:
Applicable
City: State:
City; State:
Address:
Zip: Phone
Zip: Phone:
City:
FEE SIMPLE TITLE HOLDER: � Not Applicable
BONDING COMPANY: Not
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 Count 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 bylaws
rules, 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: roam 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with leader or an attorney before
comme ci work or recording our Notice of Commencement.
�Sgnature
of Owner/ Lesse ontractor as Agent for Owner
gna ure o contractor/License Holder
STATE OF FLORIDA
COUNTY OF j :LO��.
STATE OF FLORIDA
COUNTY OF ,� I- W ��
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this � d1ay of � 20?O by
this 2>J day of 202 C, by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification �
Personally Known OR Produced Identification'___
Type of Identification
Produced
Type of Identification
Produced_-
jSignature of Notary Public- S lorida� i0n� (v��1b,
Signature of Notary Public- State of a E4'�
_ + °b-
,•Q'
Commission
ell�
No. (5e��nm'
Commission No. c• 9 _`���•`-: ��� `�'"�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA URTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Name:
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone: