HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/27/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34952
Phone: (772) 462-15S3 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: hvac change out
PROPOSED IMPROVEMENT LOCATION:
Address: 1880 Tilton Rd, Fort St Lucie, Fi 34952
Property Tax ID #: 341450105121506
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2 ton system with Ruud 2 ton 16.0 seer w/5kw heat
Models RH 1 T2417 & RA1424
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. —
Block No.
Add lit' nal work to be performed under this permit— check all that apply:
Y Mechanical —Gas Tank _Gas Piping _Shutters � Windows/floors Pond
_ Electric _ Plumbing — Sprinklers , Generator _ _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4000.00 Utilities- —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Thomas Crawford Name: Tracy Steele
Address: 1880 Tilton Rd Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: —L Address:2750 SW Edgarce St
Zip Code: 34952 Fax: City: Port St Lucie State: FI
Phone No. 772-528-2710 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 unh is of rnnctr a+;. Oo 7Cnn nrr rr�r.rr
- -- _ ---- ---- -• •••I VJ91111V11Lt!11JeF11 15 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:
[l1AlA1C� / !'AfeTn n �Tr�n n
w---��v Lwiv 1 KA,_ awn Arrewv i t : Appii cation is riereoy 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 Home 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/ Lsseweolntractor as Agent for Owner Signature of Contra or/b rise Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 27 day of September . 202. by
TRACY ❑ STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of ,
Notary Public State of Florida
Commission N Daniel F Slacey(�
+ y o mission GCi1�53
w� Expires (t11 WG22
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF STLuciE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 27 day of September , 202J by
TRACY E STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
tyI'PAZlt�f�PL�li�-ta.o€ orida )
Natawry Public stale of for
fju�t el IF Stacey
i,�Y ammietionGG25i6 {Seal)
Expims
SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW