HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/23/2021 Permit Number:
NJ,ra L41= GC1M
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) 462-1578
Commercial
PERMIT APPLICATION FOR: hVaC change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 9690 Fairwood Ct, Port St Lucie, FI 34986
Property Tax ID #: 332250000120000
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2 ton system with Goodman 2 ton 16 seer heat pump w/5kw heater
Models GSZ16024
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
4echanicat _ 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: $ 5500.00 Utilities:
—Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edsel Billingy
Name.. Tracy Steele
Address: 9690 Fairwood Ct
Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: Ft
Address:2750 SW Edgarce St
Zip Code.. 34986 Fax:
City: Port St Lucie State: FI
Phone No. 240-216-2740
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 rnnrtnsr1-; n is '7cnn
- ---- -- - ---•-I - vi a..�nui1C11LCi11C11L Ib requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 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:
nXA/KiZD/rr%riTbArTnn Arrmiper_ .
...... , ,LF v , f,ppm-auon is nereoy 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 Nome 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.
Signature of Owner/ Les ee/C n ctor as Agent for Owner Signature of Co tra for License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 23rd day of August 2020 by
TRACY D STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission i
ILII IMMA
DATE
RECEIVED
DATE
COMPLETED
Public State or FI()gftI)
r My Commission GG 251653
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 23m day of August . 2020 by
TRACY 6 STEELE
Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
Produced
(Sign
Notary Pudiic SteRe of Florida
Commissi I Daniel F S1aceY
any om n GG 2516ijea
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