HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06-16-2021
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Permit Number:
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) 462-1,578
Commercial
PERMIT APPLICATION FOR: /\/C Change out
PROPOSED IMPROVEMENT LOCATION:
Address: 5613 Eastwood Drive
Residential XX
Property Tax ID #.- 1301-613-0402-000-7 Lot No. 14
Site Plan Name: Lakewood Park Unit 11 Block No. 154
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing a/c equipment, like for like
Goodman 2.5 ton 14 SEER with 10kw head
Condenser Model: GSX140311 Air Handler Model: ASPT35B14A
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
Electric
Plumbing
Total Sq. Ft of Construction:
_Sprinklers
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Cost of Construction: $ 3500-00 Utilities: � Sewer _Septic Buildin Height:
OWNER/LESSEE: I CONTRACTOR:
Name Brenda Rickson & Harry Howard Name: William H. Britton, Jr.
Address: 5613 Eastwood Drive Company: Buddy's AC LLC
City: Fort Pierce State: Address: 8815 W. Angle Road
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. 762-383-2686 Zip Code: 34947 Fax:
E-Mail# Phone No (772) 480-4136
fill in tee simple Title Holder on next page (if different E-Mail buddysactfc@gmaif.com
from the Owner listed above) State or County License CAC1820063 / 31262
If
value
of
construction is
2500 or more, a RE��RDED 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 S�MPLE 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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 financqF
ing, consult
with lender or an attorney before commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contra for as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL LUGE COUNTY OF sr LUCiE
Sworn to (or affirmed) and subscribed before me of
xx physics! PresePU
ce or online Notarization
this ^ay of YU b y
atat
Sworn to (or affirmed) and subscribed before me of
xx Ph Presence or Online Notarization
this 11gZday of ��t,�.c� � 2-9-M by
a0al
William M. Britton Jr. William N. Britian Jr.
Name of person making statement. Name of person making statement.
Personall,
Type o
Produ7d
1 Known xx
entification,
0.
OR Produced Identification
W,4
(9`ibnature of Notary Public- St
Commission No. HH134929
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
Personally Known
xx _ OR/Prod
Type of [den ' ication
Produced
I
lorickrhfta R, Pamw (Sit ature of Notary Public- State
NotarV-Publlc �'
(Vsl� of Florida Commission No. NH134929
b. Comm# HH134929
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
Identification
I a & 8, �� "` '- _
•
Notary Public
S91A of Florida
Comm# HH134929
SEA TURTLE
REVIEW
MANGROVE
REVIEW