HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
i -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 33 Lake Vista Trail#206 Port St. Lucie, FL 34952
Property Tax ID#: 3422-500-0461-000-9 Lot No.
Site Plan Name: VISTA ST LUCIE BLDG 33 UNIT 206(OR 3320-840) Block No.
Project Name: Susan Berger
DETAILED DESCRIPTION OF WORK:
Residential AC Replacement-2.0 ton AHRI#8711412
Condenser-Goodman GSX14025
Air Handler-Goodman AWUF25 14 Seer
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters ,Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: yr• Sq. Ft. of First Floor:
Cost of Construction: $ 3,998 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameSusan Berger Name:Adam Emanuel
Address:33 Lake Vista Tr#206 Company:Arnold's Air Conditioning of South Florida, Inc
City: Port St Lucie, FL State:_ Address:1413 SE Conference Cr
Zip Code: 34952 Fax: City: Stuart State:FL
Phone No. Zip Code: 33410 Fax:
E-Mail:sabtranslations01@gmail.com Phone No561-515-5527
Fill in fee simple Title Holder on next page(if different E-Mailadam@arnoldsairconditioning.net
from the Owner listed above) State or County LicenseCAC1814146
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR- RTY. A NOTICE OF COMMENCEMENT MUST BE ED IAN
POSTED ON THE JOB SITE BEFQRE"TTHE FI T INSPECTION. IF YOU INTEND TO OBTAIN,RNAIYCING, C UL
WITH YOUR LE OR ORNEY BEF CORDING YOUR NO F COMM MENT."
y
Signattia of Owner/Lessee/Contractor as Agent for Owner Sig a of Contractor icP Holder
TE OF FLORIDA TATE OF FLORID
COUNTY OF & &dCh COUNTY OF FLORID
The for oing instru n was acknowledged before me The f^or,�oing instrume t was acknowledged before me
this day of 201L by this off- day of C 2021 by
Name of person makind statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P_ 'of ,#GG348977 (Signature of Not toremon
2023 # ' OMM 6348977
Commission No. _ ` EXPOI;dune 26, Commission No. ''' � EXpires:JUII� ,2023
Bonded ThrU Aaron t� XY +"-,,,A,R,, onded YG Aaron Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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