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HomeMy WebLinkAboutBuilding permit application Cb All APPLICABLE INFO MUST\BE/COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �O 1'`� Permit Number:mtl II Building Permit Application Planningand Development Services i P I Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 I PERMIT APPLICATION FOR: Air Conditioning Change Out PROPOSED IMPROVEMENT LOCATION: Address: 234 NE Mainsail Street Port Saint Lucie, FL 34983 Property Tax ID#: 3419-570-0084-000-9 Lot No. 10 Site Plan Name: River Park- Unit 9 Part C Block No. 80 Project Name: I DETAILED DESCRIPTION OF WORK: Remove existing 3 ton Ruud split system and replace with new 3 ton York split system;. Remove existing 10kw heater and replace with new. ��� ,I New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: I Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Ponld _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4300.00 Utilities: —Sewer _Septic Building Height: I OWNER/LESSEE: CONTRACTOR: ,I ` Name Reina Garcia Name: Luis R Polanco Address: 234 NE Mainsail St Company: My Air Conditioning, LLC city: Port Saint Lucie, state:FL Address: 725 SW Sail Terr. Zip Code: 34983 Fax: city: Port Saint Lucie . State: FL Phone No. 772-626-0825 34953 Zip Code Fax: E-Mail: Phone No 772-6264867 Fill in fee simple Title Holder on next page(if different E-Mail myac.heat(Ogmail.com from the Owner listed above) State or County License CAC1816775 j 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. I -- I ,: �3. .. � ... � , i 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: I 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 followingbuilding g 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 inten to obtain financing,;consult with lender or an attorney before commencing work or recording mencement. i Signature of Owner/Lessee/Contractor as Agent for Owner Signat ntractor/License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF so,d,,4- Luis_ COUNTY OF gG,�� L.uc%-�' Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of R Physical Presence or Online Notarization Physical Presence or be Online Notarization this '_� day of Oc o y- 2020 by this '40 day of O��foew_ 2020 by x��►',�a. Caseic� Ly�S '�eb.� I Name of person making statement. Name of person making statement. X`�R®®048919999P6A/��9 e 1@l9JdNJ Personally Known OR Pro�AINO B�_ Personally Known OR Produces IM i Type of Identification 'd o�rM1s�ERN�p�., Poi Type of Identification �°°�`�� ',Ss!ery Produced c e� �� ?��F'•, i Produced LICLP A. E � gER��°��•: PPi U ©oa fSs o�7i '�'.•� (Signature of Notary blic- taffi-Sf•F�pri`a) ��y: (Signature of Nota u lic-S ate�f F or la ccs2s5a5 y o ( g ry fig••' Y ;A any Onded 1b' �� ' o a o z OQ %'9P public nd� \D.o� p�. �d� Bandod Commission No. G\Ci °I to S,+S`Aa,yo: eal� 4� a°� Commission No. 6 `�2(a�LK a9P 3yO� I unae 61€E�o � �UC, T���o4 e@eoe® d j,•t :A �..oa , REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.576720 I