HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DateO8105/2021 Permit Number:
�.� LLI
- 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: Like for Like AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 7695 Wexford Way Port Saint Lucie, FL 34986
Property Tax ID #: 3321-801-0024-000-8 Lot No.
Site Plan NamOESERVE PLANTATION -PHASE I- LOT 24 (OR 1 C41-1204:1142-217: 3055-1445) Block No.
Project Name:Oechsle AC Changeout
DETAILED DESCRIPTION OF WORK:
Install 2 ton, 16 SEER, York A/C system with 5 kw meat strip.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X 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. $ Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamdVla�r Jane Oechsle
Name: Ramon LBlloo
Address:7695 Wexford Wav
Company: Frigid Air LLC _
City:p StateFL
Zip Code: 34986 Fax:
Phone No. 772 465-5949
Address: 1651 SE Goucho Me
City: PSL State:
Zip Code34952 Fax:
Phone No 779-?19-1113
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Ray@frigidair.cool
State or County License CAC1819319
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 LAIR! INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _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 Count makes no representation that is granting a permit will authorize thepermitholder to build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws or an 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: roam 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 Cou tend p s nn th 'obsite before the first inspection. If you intend to obtain financing, consult
with er or a Larne e commencingwork or recordingour Notice of Commencement.
%
i
A/Z
ntractor as Agent for Owner
Signature of=�7
STATE OF
(L
COUNTY OF_,-,�.Lam' ,`
Sworn to for affirmed) and su scribed before me of Physical Presence or Online Notarization
this day of S 20a3 by
Name of person making statement.
Personally Known OR Produced Identification
Ty - of Identificatio Produced
� lffw� � &��
( gnature of Notary Public- State of Florida }
AACHAEL CLINTON
Commission No. (Seat) ,'�'�YPV°:Notary Public -State of Florida
= Commission 0 GG 318424
My Commission Expirea
n.„„,r April 01, 3033
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Rev 5/20/21