HomeMy WebLinkAboutSLC CorselloAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 05/10/2021 Permit Number:
w -
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: HVAC Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 662 SE Hidden River Dr, PSL, FI 34983
Commercial Residential x
Property Tax ID #: 342770100330002 Lot Na._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton system with Ruud 5 ton 16.0 seer w114kw heat
Models RA1660 & RHIT6024
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: Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John Corsello
Name:Tracy D Steele
Address: 662 SE Hidden River Dr
Company:Tracy D Steele Air Conditioning Inc
City, Port St Lucie Stater
Address:2750 SW Edgarce St
Zip Code: 34983 Fax:
City- Port St Lucie State: PI
Phone No. 772-671-8736
Zip Code: 34953 Fax:
E-Mail:
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 value of rnnctrnrtinn is t,)rnn r.r ..,...., , ncrnoncn ha a: _r
uu0
vI-- i. cc 1 u,rnmencement 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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
nwiurw re)KITDAr•Tno Artin%nr. .
Zip: Phone:
- - -- - --^--• — --v I I . 11pp1it_auUr1 is hereby mane 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.
isinocontflict with es any representation
iHomeaOiwners Association iru es,abyi ws or andpcovtenantss holder
ot build
drestrict o�rprstructure
ohibit s ch
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 PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFO
RE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ L see/ on actor as Agent for Owner
Signature of Contra for/L on Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIF
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 70 day of May 20 �,% by
this 10 day of May 20 4% 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 of otary Public- State of Florida)
(Signature of Notary Public- State—offlorida )
Commissio N Wary Public Sra*.f i )
ante aCey
Commissi Koren �ui,+ic Sur of P aI
My Commission GG 251653
ani aoey
My Commission GG 251653
OF t~
REVIEWS ON NG SUPERVISOR
PLANS A ANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 211119