HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06-09-21 Permit Number:
p ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C change out
PROPOSED IMPROVEMENT LOCATION:
Address: 8197 Blolly Ct., Port St_ Lucie 34952
Property Tax ID #: 3425-701-0033-000-6 Lot No. 16
Site Plan Name: SAVANNA CLUB -PLAT ONE Block No. 1
Project Name:
LqTAILED DESCRIPTION OF WORK:
Replace existing a/c equipment, like for like
Goodman 3.0 ton 14.0 SEER package unit with 10kw heat strip
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4200.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lloyd Simari Name: William H. Britton, Jr_
Address: 8197 Blolly Ct. Company: Buddy's AC LLC
City: Port St. Lucie State: Address: 8815 W. Angle Road
Zip Code: 34952 Fax: City: Fort Pierce State: FL
Phone No. (772) 323-4096 Zip Code: 34947 Fax:
E-Mail. Phone No (772) 480-4136
Fill in fee simple Title Holder on next page ( if different E-Mail buddysacllc@gmaiLcom
from the Owner listed above) State or County License CAC1820063 1 31262
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 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 lender or an attorney before commencing work or recording our Notice of Commencement.
WJ �dl �"
Signature of Owner/ Lessee/Cont or as Agent for Owner Signature of Contractor/License Hbider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. DUCE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
xx Physical Prese ce or Online Notarization xx h sicaI Pres nce or Online Notarization
this _ day of 26z6 by this day of 2&9 by
foal Goal
William H. Britton Jr. William H. Britton Jr
Name of person making statement. Name of person making statement.
Personally Known xx O oduced Identification Personally Known xx OR Produced Identification
Type of I ntification Type of Identification
Produc
4Producedi nature of Notary public- State a )1t�a R• Parsons ure of Notary Public- for ry public
Notary Public St Florida
Commission No. HH134929 ( a3tate of Florida Commission No. HH134929 C rn HH134929
Comm# HH134929 Expiresi#5/261202S
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. rJ