HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I'll, 1 Permit Number:
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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 ""
CBDG Funding
PERMIT APPLICATION FOR:HVAC/Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5204 Feather Creek Dr Fort Pierce, FL 34951
Property Tax ID #: 1312-801-0180-000-5 Lot No. 377
Site Plan Name: Smiley Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Exact AC change out, no duct work
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: $ 5293.90 Utilities: __ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: .lames Nichols
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Address: L ^I
Company: Speedy Air Conditioning Service
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City: State:
Zip Code: �-101 � r Fax:
Address: 532 NW Mercantile PI, Unit 111
City: Port Saint Lucie State: FL
Phone No. _14 — r E-
Zip Code: 34986 _ Fax: 772-934-3511
Mail: J n) s-C 6 Dom 1 I , C°CM
Phone No 772-871-1560
E-mail permitfing8speedyacservice.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CAC1820639
IIf value of construction is 2500 or more, a RECORDED Notice oT L mmencemeni is requireu. II
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: Not Applicable
DESIGNER/ENGINEER: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: ` Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
MAIIW:G/ P/1NPro APTnn ArrnvrV. .
-- • —•-, ....... ar��, v�♦ r.rrw V I. Mppncation 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 any. applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 an ted o he jobsite before the first inspection. If you intend to obtain financing, consult
with lender an atto a fore commencin work or recordin N t' f
our o Ice o Commencement.
Signature of Ow ntra or as Agent for Owner
STATE OF F ORIDA
(C
COUNTY O
Sworn to (or affir ) and subscribed before me of Physical Presence or Online Notarization
a
this day of Y A 20oWby
nMod l�F1Q�5
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatio roduced
(Signature c1f Notary Public- StatA of Florida)
Commission No. C -) (Seal) Notwy Public Sire of Flonds
Stephanie Spurkn
Commmmm HH 057731
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