HomeMy WebLinkAboutSLC UVA.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
[late: 11/18/2021 Permit Number:
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 Residential x
PERMIT APPLICATION FOR:hvac Change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 631 Paurotis Ln, Ft Pierce, Fl 34982
Property Tax ID #: 341050303570009
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3 ton system with Goodman 3 ton heatpump 15.0 w/5kw heater
Models GSZ16036 & ASPT37B
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 5000.00 Utilities: —Sewer -Septic Building Height:
OWNERAESSEE:
NameAnthony Uva
Address:631 Paurotis Ln
City: Port St Lucie State: k i_
Zip Code: 34986 Fax:
Phone No.772-924-54476
E-Mail, summerplace05@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Tracy Steele
Company: Tracy D Steele Air Conditioning Inc
Address.2750 SW Edgarce St
City: Port St Lucie State: Fl
Zip Code: 34953 Fax:
Phone No772/215/1974
E-Mailtdsac@aol.com
State or County License CAC035553
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:
DESIGN[
Name:
Address:
City:
Zip:
INEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 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.
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Signature of Owner/ Le see/GQPtractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 18 day of November 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 )
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Daniel F Stacoey
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Expires 061 202
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DATE
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Signature of ontrac r License Holder
STATE OF FLORIDA
COUNTY OF STLUCIF
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 18 day of November 2020 by
TRACY D STEEL[
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Staten Floridaow
)
Commissi n 1\1 r
JPERVISOR PLANS Apd
REVIEW REVIEW REVIEVI
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Daniel f Stacey
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