HomeMy WebLinkAbout7701 Santa Clara AC Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION! TO BE ACCEPTED
Date: 09-14-2021 Permit Number:
° i M 00R Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A/C Change Out
Residential Xx
PROPOSED IMPROVEMENT LOCATION:
Address: 7701 Santa Clara Blvd
Property Tax ID #: 1301-607-0148-000-9 Lot No. 17
Site Plan Name: Block No. 75
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing a/c equipment, like for like
Goodman 3.0 ton 16.0 SEER with 8kw electric heat
Condenser: GSX160361 Air Handler: ASPT47D14
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 utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name 7701 Santa Clara LLC
Name: William H. Britton, Jr.
Address: 3864 SE Fairway West
Company: Buddy's AC LLC
City: Stuart State:
Address:8815 W. Angle Road
City. Fort Pierce State: FL
Zip Code: 34997 Fax:
Phone No. 772-924-6628
Zip Code: 34947 Fax:
E-Mail:
Phone Na (772) 480-4136
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail buddysacllc@gmail.com
State or County License CAC1820063 1 31262
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
State:
x Not Applicable
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
ate_ ...__1-
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OWNER/ CONTRACTOR AFFIDVIT: Application is nereoy maoe to ootaln a PUI III,L «, UVLlI_
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County
l makes no representation that is grantingwners Ass a permit will authorize the permit holder to build the subject structure
structure, Pleasecconsult ithpyoiurHle Home ome Owners Association and clation review your deed oraws or and o any restrictions nts that which may alprohibit such
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 recordin our Notice of Commencement.
Signature of Owne6 Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Sworn to (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization
this day of yf +by
William H. Britton Jr.
Name of person making statement.
Personally Known xx OR Produced Identification
Type of I entification l
PrZd
ct
(S ature of Notary Public-- State of Florida ) R.
Commission No. 1111434929 etyPubliC
State of Fla ida
Signature of Contractor/Lice se Holder
STATE OF FLORIDA
I i/
COON OF STAUGIE
Sworn to (or affirmed) and subscribed before me of
xx P sical Presence or Online Notarization
this day of SPrr&tr l b-c , 2020 by
William H_ Bftton Jr.
Name of person making statement.
Personally Known xx OR Produced Identification
Type of Identification
Produced Z-1
(Si ure of Notary
atPublic- State of Florida )
IcIMk>la R. F'ara=
Commission No. HH134929 d-*SEj�3ryPUNIC
state of Florida
b res 5/26/0 °�'
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