HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nata- 11-08-2020
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Permit Number:
Building Permit Application
Pianning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: hvac change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 8424 Muirfield Way, Port St Lucie,Fl 34986
Property Tax I D #: 332880200320001
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing3.5 ton with Goodman 3.5 ton 15 seer w/10kw heat
Models GSX16042 & ASPT59C
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Lot No.
Block No.
Add itnal work to be performed under this permit— check all that apply:
pp Y:
Mechanical _ Gas Tank —Gas Piping Shutters Windows/Doors Pond
— Electric _ Plumbing — Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction -
Cost of Construction: $ 4500.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
OWNERAESSEE: CON
Name Robert Greeves
NamE
Address. 8424 Muir -field Way
Comb
City: Pori St Lucie State: ;�
Addre
Zip Code: 34986 Fax:
City: i
Phone No.201-344-8010
_
Zip Cc
E-Mail:
Phon(
Fill in fee simple Title Holder on next page ( if different
E-Mai
from the Owner listed above)
State
Building Height:
TRACTOR:
Tracy Steele
any: Tracy D Steele Air Conditioning Inc
ss:2750 SW Edgarce St
?ort St Lucie State: Fl
de: 34953 Fax:
No 772-215-1974
tdsac@aol.com
)r County License CAC035553
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 LAIN INFORMATION:
DESIIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable MORTGAGE COMPANY:
Not Applicable
Name:
Address:
State: City: State:
Zip: � Phone:
— Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: �� Phone:
—Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, 1 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 on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornoll before commencing work or recording our Notice of Commencement.
Signature of Owner/ ess Contractor as Agent for Owner Signature of Contr cto /Li ense Holder
STATE OF FLORIDA COUNTY OF stSTATE OF FLORIDA
Lude
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8 day of December 2020 by
Name of pers making statement..
Personally Known x OR Produced Identification
Type of identification
Produced
(Signature of Nota
f, jamry P4Wic 5telo of Florida
`My Commission GG 251653
Expires 0812212022
EWS � FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this a day of December 2020 by
Name of person Icing statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pu
SUPERVISOR � PLIt7f
REVIEW REVIEW
`Nlyotary Public Stall d Florida (Seal)
My Commission GG 251653
Fxpi 8122l2022
�EGETATJON SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW