HomeMy WebLinkAboutFRASER PERMIT APP SLCDESIGNER/ENGINEER: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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 lanrlPr nr an attornev before commencine work or recordina-vAur Notice of Commencement.
Signa ure caner/ ssee/Contractor as Agent for Owner
Signat a of Contra r/ der
STATE OF FLORIDA
COUNTY OF ���% /.�
STATE ORIDA
COUNTY OF /14-"
Sw rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
� Ph Presen Online Notarization
Physical Presence or Online Notarization
day 2020 by
sical a or
this � day of ///•lU by
this � of /�%�
12020
Name of person makingsttatement.
Name of person making statement.
Personally Known > OR Produced Identification
Personally Known uC' OR Produced Identification
Type of Identification
Type of Identification
�N1►pEL
Produced
Produced
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(Signature o otary blic- State of F` da ssi • Cp /�i�i
(Signature Notary P lic- State of �_ rid �9 m'•
Commission No. Stale �� ;
Commission No. : .(�ea"004,5s ;
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REVIEWS
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PLANS
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REVIEW
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/ZU
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/14/2021
Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
APPLICATIONPERMIT •' ..
2,41.�.�s.
Address: 1526 NW BUTTONBUSH CIRCLE PALM CITY FL, 34990
Property Tax ID #: 4426-815-0070-00-3
Site Plan Name:
Project Name: FRASER
INSTALL A NEW 3.5 TON 16 SEER 10KW HEATER RHEEM COMPLETE SYSTEM.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,294
Generator
X
Lot No._
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name BRENT FRASER
Address: 1526 NW BUTTONBUSH CIR.
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No. 513-703-0196
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: LUKE WALKER
Company: TREASURE COAST AIR
Address: 1055 S.W. MARTIN DOWNS BLVD
City: STUART State: FL
Zip Code: 34990 Fax: 772-288-7046
Phone No 772-692-1701
E-Mail TCAC1990@ATT.NET/TCACSVC@,1TT.NET
State or County License CAC058476
If value of 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.
RE
CT
D U 15�0
i�-21 p ordexed
DC I i VeYy
•2 Inc
Treasure Coast Air Conditioning, -
1055 SW Martin Downs Blvd I Palm Ciq> FL 34990 1 www treasurecoastair.com
State License # CAC058476 EPA Certified Technicians ph (772) 692-1701 • fax (772) 288-7046
tcac1990gatt.net
Fully Insured
WE TAKE PRIDE IN PROVIDING PROFESSIONAL INSTALLATIONS
Serving Martin er St Lucie counties since 1990
NAME: f ra S 4Z_f DATE: 5"? 2 �
ADDRESS: IS ZCo Nw (3u�0h6,-tS r �� t PC- 34290 103-?a3-ola(o
BRAND: Kh e e m
SEER:
HEATER: A CAUA)
THERMOSTAT: SmQC 5 6Y�
TONNAGE: 3
CU MODEL # R R 1 i9 9 Z
1 Sz0
A/H MODEL # RR ITLi3-2
WARRANTY: IO V9-Ck r All Fear lam. ( year 1Qbar
❑ VERTICAL HURRICANE GRADE TIE DOWNS
HORIZONTAL SLAB FOR OUTDOOR UNIT 40)00
❑ EMERGENCY PAN /SAFETY OVERFLOW SWITCHES FOR DRAIN LINE
EMERGENCY PAN WITH RAILS 5i+ REMOVAL OF EXISTING EQUIPMENT
❑ FILTER RACK WITH DOOR ❑ FILTER RACK WITHOUT DOOR
C/U BREAKER SIZE: �p- 0ee� y0
A/H BREAKER SIZE: � -GC06
-rC 14 00
C/U WIRE SIZE: -0 8
A/H WIRE SIZE: # (o
BREAKER BRAND. 5 y y L4.
THERMOSTAT WIRE COUNT: ! 15
SUCTION LINE SIZE: 3_ _ _ _� 1 S O , 0O FPL LIQUID LINE SIZE: 3 f g
REPLACEMENT COST $ a 29`i . 00
NOTES:-.- Price T.n c 1lSe.w Re,kw\ 4-- s,,Ppt,) s
Aft worlL Done To Mee l- Code. (fir! Qx !+,L--
SIGNATURE: de-, ,
Signature ouihorizes w to order
and