HomeMy WebLinkAboutSLC STEFFELAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I -2.- III Permit Number:
S�,'`7o LLS1C S- __
31
:.
:,:' - 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:hvac Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 7306 Mystic Wat, Port St Lucie, FI 34986
Property Tax ID #: 332262000230009
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton system with Goodman 5 ton 16.0 seer w110kw heat
Models GSXC16060 & AVPTC61D
Lot No.
Block No.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
(/Mechanical _ Gas Tank J 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: $ 6000.00 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Peggy Steffel
Name: Tracy Steele
Address:7306 Mystic Way
Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: _
Address:2750 SW Edgarce St
Zip Code: 34986 Fax:
City: Port St Lucie State:Fl
Phone No.772-579-1759
Zip Code: 34953 Fax:
E-Mail:steffel@comcast.net
Phone No772/215/1974
Fill in fee simple Title Holder on next page I[ if different
L-Mailtdsac@aol.com
from the Owner listed above)
State or County License CAG035553
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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
rite
Zip: Phone:_
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
te:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip:.
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe 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
structure. Plee conflict consult any
hpyoiurHlome Owners Asso iars tion land review your daws eed forany coven
restrictions that
ions which may strict or prohibit 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 recording our Notice of Commencement.
Signature of Owner/�esse�j ntracto Agent for Owner Signature of Cont act cense Holder
STATE OF FLORIDA
COUNTY OF STLucIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this day of No - 2020 by
TRACY D STEELE
Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
Produ
(Sig1.Vq-T4q.—Exyir*9o&2212022
ot+� ��1 id
Daniel F Staaey
idly Commission GG 251653Cc (S I)
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF sT'uciE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 2 day of Nov. 2029 by
TRACY D STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of identification
Produced
(Signata.-bo;
�ila )Daniel F 5taveY51653r,-miMy GommissiannGG � (Se
SUPERVISOR I PLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW