HomeMy WebLinkAboutSLC ARNOLD PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR, APPLICATION TO BE ACCEPTED
Date: 04/22/2021 Permit Number:
s
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: HVAC Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 680 SE Hidden River Dr, PSL 34983
Property Tax ID #: 342770100350006
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with Goodman 2.5 ton 16.0 seer w/8kw heat
Models GSX16030 & ASPT37C
CONSTRUCTION INFORMATION:
Additio al work to be performed under this permit —check all that apply:
'Mechanical — Gas Tank — Gas Piping Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Sprinklers Generator
Sq. Ft. of First Floor:
Lot Na,
Block No.
Windows/Doors
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wayne Arnold Name: Y Trac D Steele
Address: 680 SE Hidden River Dr Company:Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: 2750 SW Ed arce St
Address: 9
Zip Code: 34983 Fax; City: Port St Lucie State: FI
Phone No. 772-873-1227 Zip Code: 34953 Fax:
E-Marl: Phone No 772-336-2448
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 vahip of rnnctri irtinn ;� ct-icnn _
-- ----- -• ----•-I -uw vuuunrnGeinent is requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
ZiP= Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
— Not Applica
State:
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: _ _ Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: , Phone:
— Not Applicable
State:
—Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated-
[ 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 an restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in allyY pp 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 scr
een rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY_
POSTED ON THE JOB SITE BEFORE
MAY RESULT IN YOUR PAYING
A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND
THE FIRST INSPECTION_ IF YOU INTEND TO OBTAIN FINANCING,
WITH YOUR LENDER OR AN ATTORNEY
CONSULT
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ e e Contractor as Agent for Owner —
Signature of Con
STATE
STATE OF FLORIDA
act tense Holder
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 22 day of Apra 20 -10 by
The forgoing instrument was acknowledged before me
this 22 day of Aprii 20r by
TRACY D STEELE
Name of person making statement.
TRACY D STEELE
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Personally Known S OR Produced Identification
Produced
Type of Identification
(Signature of Notary Public- State of Florida }
Commission
Watery �uhlic State bf F%d
Daniel F Stacey
L My Commission GG 251653
REVIEWS
COUNTER I REVIEW
DATE
RECEIVED
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DATE
COMPLETED
Produced
(Signature of Notary Public- State of Florida )
Commiss
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