HomeMy WebLinkAboutWalshPermitSLC_20210408All APPLICABLE NFO)VIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�f G J Permit Number:
Date: 7
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential
V,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: HVAC Equipment ChangeOut
el
Address: -'j C-�_ .S
Property Tax ID #:
Site Plan Name:
Lot No.
Block No.
Like for like AC replacement
OrI //o � � -5, r
Add7echanical
l work to be performed under this permit— check all that apply: _ Windows/Doors
Gas Tank — Gas Piping _ Shutters
— Electric Plumbing — Pitch
_ Sprinklers Generator — Roof --
_ _
Total Sq. Ft of Construction:
/Pl: Sq. Ft. of First Floor:
Cost of Construction: $ . 5011�1-1 Utilities: _Sewer _Septic Building Height
Name
Address:
�--
City: / �� i / State:,-G
Zip Code: Fax:
Phone No. L
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:Steve Smith
Company: Steve Smith Air Conditioning
Address:8001 Eden Road
City: Code: Fort Pierce State: FL
Zip
34951 Fax: 772-461-2036
Phone No772-461-1425
c_nn .ii stevesmithac@aol.com
State or County LicenseCAC1813454
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.
e to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mad
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
Iructure. Please consult any
ithpyyoiurHlome Owners Association sand reviewylaws or y ur deed forcovenants
any restrictions which may or
prohibit such
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 PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T E JqB_,SM BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y 'LEND F I R AN ATTORNEY BEFORE RECORDING YOUR NOTI" COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAl LVr
COUNTY OF_ S—s L—U C,N 5 COUNTY OF �S
The forgoing instrument was acknowledged before me
this 1q!yday of 204 by
Name of person making statement.
The forgoing instrument was acknowledged before me
this linday of 20 "by
Name of person making statement.
k
Personally Known OR Produced Identification _�>c Personally Known OR Produced Identification
Type of Identification Type of Identificationf
Produced l7R\VE�(t.
(. I C E�-� S E Produced tu L—
&gnat a of ota Public- S to of Florid ChrietopherJ. n nature
G NOTARY PLILIC
Commission No. 22215-p STATE OF QSRONissio
Comm# GG202758
If Notary Public- State of Flo { 5tepnanie 1
X NOTARY F
n No. �F gJ'' 7' o a STATE OF
? Comm# FF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED