HomeMy WebLinkAboutMech Permit App 9024All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/16/21 Permit Number:
� r, ig
° 19MRS 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 CBDG Funding
PERMIT APPLICATION FOR: HVAC REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 9024 ONE PUTT PLACE, PORT ST. LUCIE, FL 34986
Property Tax ID #: 3334-501-0134-000-1 Lot No. 32
Site Plan Name: LAKES AT PGA VILLAGE Block No. C
Project Name: MCKILLIPS - 31781639
DETAILED DESCRIPTION OF WORK:
REPLACE 2c TON & 4 TON AC SYSTEM
),c 2 Tbm, p5- kW I q 7�Aj= l0
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: $ 12,185.00 Utilities: _ Sewer _ Septic Building Height:
CONTRACTOR:
Name MICHAEL $ THERESA MCKILLIPS
Name: NICHOLAS SANSONE
Address: 9024 ONE PUTT PLACE
Company: SANSONE AIR COND.
City: PORT ST. LUCIE State: FL
Address: 945 N. MILITARY TRL
Zip Code: 34986 Fax:
City: HAVERHILL State: FL
Phone No. 772302-0173 E-
Zip Code: 34986 Fax:
Mail: tracymekillips(Mgmail com
Phone No 954-794-1035
E-Mail permits@sansoneac.com
Fill in fee simple Title Holder on next page (if different
State or County License CAC 051473
from the Owner listed above)
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
INEER: X Not App
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X— Not Applicable
Name:
Address:
City:
Zip:
e:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu�t with your Homeowners 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.
X
efigfi6ure of 0 ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 16 day of SEPTEMBER . 2o21 by
Name of person making statement.
Personally Known X OR Produced Identification
Type' of Identific`ati ron2Produ—ced
yh Y >
(Signat a of Notary Public- State of Florida)
Commission No. �' 484 d35 (Seal) iov Notary Public State of Florida
Yasix Bowen
p� My Commissmn GG a84235
Expires 05/102024
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