HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02-17-2021 Permit Number:
O
i a � 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) 462-1S78
PERMIT APPLICATION FOR: hVac change-out
PROPOSED IMPROVEMENT LOCATION:
Address: 8622 SW Thompson Pnt., PSL, FI 34986
Property Tax fD#: 332770400150002 Lot No.
Site Plan Name: Block No.
Project Name:
[DE�TAILEDDESCRIPTION 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:
Additional work to be performed under this permit—check all that apply:
/Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors fond
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 Kevin Clar Name: Tracy D Steele
Address:8622 SW Thompson Pnt Company:Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: 2750 SW E:d arce St
Address: 9
Zip Code: 34986 Fax: City: Port St Lucie State:FI
Phone No.585-233-5276 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 Rome 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 commencing work or recording our Notice of Commencement.
— 41av-,
Signature of Owner/ ess ntractor as Agent for Owner Signature of Cop6actoroklcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST_UCEE COUNTY OF sT LUCIE
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 day of ,2020 by this day of 2020 by
TRACY D 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 I r c- a e F o ' (Signatur P l - f r'
POW sty.of
aWIFSon
Commissio nCey ea Commissi why w�aeal
My Comm ission GG 251653 MY Commission GG 251653
VqR Expints 0rl/ 212042 opR Expires ON2212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.