HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/21/2021
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number.
Building Permit Application
PERMIT TYPE: HVAC Change -out
PRO PQSED IMPRQVI MENT LOCATION:'
Address: 10117 Wild Quail Dr, Port St Lucie 34986
Property Tax ID #: 332262100180004
Site Plan Name:
Project Name:
DETAILED DESCRIPTION 01= WORK:
Commercial —_ Residential X
Replace existing 3 ton system with Goodman 3 ton 16.0 seer w/10kw heat
Models GSX16037 & ASPT47D
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
ZMechanical Gas Tank
Gas Piping � Shutters
Electric — Plumbing Sprinklers _ Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:_
Cost of Construction: $ 5000.00 Utilities: _ Sewer _ Septic
OWNER/LESSEE:
Name Lynn Genninger
Address: 10117 Wild Quail Dr
City: Port St Lucie
State: ,��L.
Zip Code: 34986 Fax:
Phone No.772-281-8660
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No.
Block No.
— Windows/Doors
Roof Pitch
Building Height:
CONTRACTOR:
Name:Tracy D Steele
Company: Tracy D Steele Air Conditioning Inc
Address:2750 SW Edgarce St
City: Port St Lucie EI
State:
Zip Code: 34953 Fax:
Phone No 772-336-2448
E-Mail tdsac@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 HVAC 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
I
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:
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
is
which 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 5t. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walfs, 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.
i Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
i with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/ L sse C ntractor as Agent for Owner
Signature of Contrac or/ ce se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this r �; day of 2?9���� . 2021 by
this_/_ day of f 202 E by
TRACY D STEELE
TRACY D STEELE
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produc
Produced
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NSy Commission GG 251653
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Rev. 5 /