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HomeMy WebLinkAboutSLC ARNOLDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/18/2021 Permit Number: SM © 1 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: hvaC Change -Out PROPOSED IMPROVEMENT LOCATION: Address: 680 SE Hidden River Dr, PSL, FI 34983 Property Tax I D #: 342770100350006 Lot No. Site Plan Name; Block No. Project Name: DETAILED DESCRIPTION OF WORK: Replace existing 3 ton with Goodman 3 ton 16.0 seer w18kw 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 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 Building Height: OWNER/LESSEE: CONTRACTOR: Name Wayne Arnold Name: Tracy D Steele Address: 680 SE Hidden River Dr Company: Tracy D Steele Air Conditioning Inc City: Port St Lucie State: Zip Code: 34983 Fax: Phone No. 772-873-1227 Address: 2750 SW Edgarce St City: Port St Lucie State: FI Zip Code. 34953 Fax: Phone No 772-215-1974 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail tdsac a@aol.com State or County License CAC035553 IT value oT 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 Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: City: State: Zip: Phone 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 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 commencing work or recording our Notic of Commencement. Signature of CFwner/ 4ssee7oo &ractor as Agent for Owner Signature of Contr for Li rise Holder STATE OF FLORIDA STATE OF FLORI A 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 day of 2021 _ by this - day of 2021 by 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 Notary Public- Stat f 1 ri (Signature of Notary Public- State of Floridallotary ) W Sa rift Commission No. P"° al Flo Sta ) My Commission GG 251653 Expires OW2212022 Commission Public Stera or(a�1 ` Daniel F Stacey My Commission GG 251653 REVIEWS FRONT ZONING SUPERVISOR PLANS Oi R xpJ GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20