HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.. 02-17-2021
Permit Number:
a
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL34982 Commercial Residential x
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
nvac change-out
PROPOSED IMPROVEMENT LOCATION:
Address: 7222 Marsh Terr, PSL, Fl 34986
Property Tax ID#: 332180500150004
Site Plan Name: Lot No.�
Project Name: Block No.
DETAILED DESCRIPTION OF WORK:
Replace existing 4 ton system with Goodman 4 ton 16.0 seer w/10kw heater
New Electrical Meter_Second Electrical Meter
CONSTRUCTION INFORMATION:
Additio al work to be performed under this permit—check all that apply:
Mechanical —Gas Tank —Gas Piping p g —Shutters !Windows/Doors Pond
Electric —Plumbing —Sprinklers Generator
— �Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE. CONTRACTOR:
Name George Woodworth
Name: Tracy D Steele
Address:7222 Marsh Terr
Company:Tracy D Steele Air Conditioning Inc
City: Port St Lucie
34986 Stater Address: 2750 SW Edgarce St
Zip Code; Fax: City: Port St Lucie
Phone No. 772-465-6605 State:1`1
Zip Code: 34953 Fax:
E-Mail: Phone No 772-215-1974
Fill in fee simple Title Holder on next page if different E-Mail tdsac@aol.com
from the Owner listed above]
State or 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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 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 attorney before commencin work Or recCording your Notice o Commencement.
7 J
Signature of Owner/L ssee/ actor as Agent for Owner Signature o Contraitor/Lic(2sqAolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF sTLUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 17 day of E;=a 202(!rby this_LX day of 202e by
Z 1 ')
TRACY 1)STEELE TRACY D STEELE
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced ___ Produced
(Signature of Not (Signature of Not y P c- WSW
€ r 0 FWds
Notary ludic Stele d Fbnda , DanW F Ste
I3aniel F 5tyd�
Commission No. commi z5assa Commission No.. MrCanmis> t � 1653
IAY; Emirs$a2v�on �pu�s ow 22
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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