HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/17/2020 Permit Number:
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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: 301 Riomar Dr, Port St. Lucie, FL 34952
Property Tax ID#: 3419-510-0053-000-7 Lot No. 1q
Site Plan Name: Block No. L
Project Name: AC CHANGE OUT
DETAILED DESCRIPTION OF WORK:
Remove old air conditioning system 2.5 Tons and Install new air conditioning system 2.5 Tons 16 SEER with 5 kW
electric heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
X Mechanical —Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
n
Total Sq. Ft of Construction: 11 lq�) Sq. Ft. of First Floor:
Cost of Construction: $ \ ,i Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameClemente Chavez Name:
Address. Riomar Drive Company: W NO
►l -c I
City: Port Saint Lucie, FL State:�L Address:J ':iA 3%� km Y� �,� (etl C
Zip Code: 34952 Fax: City: S�IIo1 Loa Stater
Phone No. Zip Code: �C{q�� Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail�`��cf caci ,S I�ccl�- CQtYI
from the Owner listed above) State or County License14� ��
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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an a e before commencing work or recording our Notice of.Colimmencement.
Signature of essee/Contractor as Agent for Owner Signature of Con ens e dLsr
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF �
Sworn to(or affirmed)and subscribed before me of Swojn to(or affirmed)and subscribed before me of
P yslcal Presence or Online Notarization ✓ Physical Presence r Online Notarization
this day ofl 'h.J2e, 2020 by this L day of /lT0 ,2020 by
J�f /211"V o`Z 6 ra 7
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification 91 Personally Known OR Produced Identification ✓
Type of Identification Type of IdejcatiRrlp
Produce dr l_ Dqr'jLr S L i Celg3= . Produced 0O1.,,opC[��{{_.
(Signature Notary Public- a e I a (S nature WXW#tqpfflorida )
O�011 Its` Notary ublic State of Flonda
* Eli abe h Roberts _STATE OF FLORIDA
Commission No. a My(Seabjission GG 937056 Commissi 98272 (Seal)
Expires 12/04/2023
Expires 2I412023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 11512-0