HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/26/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: hvac change out
PROPOSED IMPROVEMENT LOCATION:
Address: 272 NE Solida Dr
Property Tax ID#f: 341957000020001 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED�2,5
�smystte�,mwith
WORK:
Replace existing ton Goodman 2.5 ton 15.0 seer w15kw heat
Models GSX16S30&ASPT35B
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
VVlechanical —Gas Tank —Gas Piping _Shutters WindowVDoors Pond
Electric —Plumbing _Sprinklers `Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4100.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Melody Miller Name: Tracy Steele
Address:272 NE Solida Dr Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State E] Address:2750 SW Edgarce St
Zip Code: 34983 Fax: City: Port St Lucie State:FI
Phone No.561-503-8074 Zip Code: 34953 Fax:
E-Mail: Phone No772/215/1974
Fill in fee simple Title Holder on next page(if different E-Mailtdsac@aol.com
from the Owner listed above) State or County License CAC035553
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of WAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SU1'PL.EMENTAL CONSTRt1CTtON LIE
N N LAW INFORMATION:
Name: Not Applicable
Address: MORTGAGE COMPANY:
City: Name. Not Applicable
Zip:
State:_�� Address:
Phone City.-
FEE SIMPLE TITLE HOLDER: Zip:~�� Phone: State:
Name: Not Applicable BONDING COMPANY:
Address: —Not Applicable Name: pplicable
City. Address:
,Zip: Phone: City:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made Phone.
I certify that no work or installation has commenced prior to the issuance of a permit.
to obtain a permit to do the work and installation as indicated.
St. Lucie County makes no representation that is granting a permit will authorize the permit
which is in conflict with any applicable home Owners Association rules, bylaws
structure. Please consult with your Home Owners Association and review your deed for an
In consideration of the granting of this requested permit, I do hereb y or andco enaotsdthat may estr'rct orpstructureob h
in accordance with the a y restrictions which may apply.
approved plans,the Florida Buildingy agree that I will, in all respects,
The following building permit applications are exempt from undergoing St. Lucie Court perform the work
accessory structures,swimming �Amendments.
pools,fences, walls,signs,screen rooms and lacesso y u,currency review: room additions,
"WARNING TO OWNER: YOUR FAILURE TO RECORD accessory uses to another non-residential use
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY A NOTICE
POSTED ON THE ,JOB SITE BEFORE THE FIRST INSPECTION. IF YOU COMMENCEMENT MAY RESULT IN YOUR PAYING
A NOTICE DF COMMENCEMENT MUST BE RECORDED AND
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.-
Signature INTEND TO OBTAIN FINANCING, CONSULT
MMENCEMENT.-
Signature of wner/L see/ ntractor as Agent for Owner
Signature of Contract /L' e e Holder
STATE OF FLORIDA
COUNTY OF STLUCIE STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instrument was acknowledged before me
this�day of -IV- - The forgoing instrument was acknowledged before me
20_;�j by this Z& day of
TRACY D STEELE 20�_)I by
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
Produced
(Signature of Notary Public ate of Florida) (Signature of Notary Public-State orida)
Commission No. ( eel
Pul t State of Florida Commissi
Daniel F Stacey +� c Steyr of FEo a f
� � Daniel IF iacey
REVIEWS w xpires 06122l2022 mission GG 251653
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COUNTER REVIEW OR PLANSAIVGROVE
DATE
REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETED
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