HomeMy WebLinkAboutHendricks ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2020 Permit Number:
t` t ji�LL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, fat Pierce FL 34982
Phone:(7721462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Like -For -Like AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 7007 Torrey Pines Cir
Property Tax ID tt: 3322-503-0072-000-7 Lot No 61
Site Plan Name: POD 7B AT THE RESERVE PUD I TORREY PINES (OR 4088-2224) Block No.
Project Name: Hendricks AC Changeout
DETAILED DESCRIPTION OF WORK:
Install 3 ton, 15 SEER, York A/C system
Equipment models: Handler - YCE36B22S Condenser - AE36BX21
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft of First Floor:
Cost of Construction: $ 3841 Utilities: _Sewer Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name Mark Hendricks
Name: Ramon tall°°
Company: Frigid Air LLC
7007 Torrey Pines CIR
Address.
City: Port Saint Lucie State: _
Address, 1651 SE Goucho Ave
City: Port Saint Lucie State: F
Zip Code: 34986 Fax,
Phone No. 509 598-0438
( >
P 34952
Zip Code: Fax:
E-Mail: mark.hendrlcks@dehn-usa.com
Phone No 772-212-1113
Fill in fee simple Title Holder on next page ( if different
E-Mail Ray'Pfrigidair.cool
State or County License CAC1819319
from the Owner listed above)
If value of construction is taw or
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMMAL CONSTRUCTION UEN L AW IW
-OR 'n N I
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worts and installation as indicated.
I certify that no work or installation has commenced prior to the Issuance of a permit
no
emit holder to build the subject structure
covenants that may restrict or prohibit such
x 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 Rorida Building Codes and St Lude 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 Coyp��ed on the jobsite before the first inspection. If yRl.io`btain financing, consult
as
STATE OF FLORIDA STATE 01
COUNTY OF > ( I I X A 1COUNTY
S orn to (or affirmed) and subscribed before me of
hysical Presence or online Notarization
this ` day ofCzz . 2020 by
Name of person making statement
Personally Known � OR Produced Identification_
Type of Identification
Commission
REVIEWS
ASwo to (or affirmed) and subscribed before me of
hysical Presence or _ Online Notarization
day of 02-)c/'i^PA� . 2020 by
(YY711 LQ\�nC)
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
tl hnrP oa�
( alum of Notary Public -State of Florida)
Commission
PLANS
REVIEW