HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/19/2022 Permit Number:
LL.aL
C ( ..E
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
CBDG Funding
Residential X
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7675 Greenbrier Cir, Port St Lucie, A 34986
Property Tax ID #: 332270000990007 Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 4 ton system with Goodman 4 ton 16.0 seer w/10kw heater
Models GSX16048 & ASPT49D
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
-XMechanical _ Gas Tank _ Gas Piping Shutters
Electric _ Plumbing _ Sprinklers Generator
Total S Ft f C
(Affidavit required)
Windows/Doors Pond
Roof Pitch
q. o onstruMon:
Sq. Ft. of First Floor:
Cost of Construction: $ 5000.00 Utilities:
_ Sewer — Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Jack Pantano
Name: Tracy D Steele
Address: 7675 Greenbrier Cir
Company: Trac D Steele Air Conditioning Inc
City: Port St Lucie State. FI
Address: 2750 SW Ed arse St
Zip Code: 34986 Fax:
City: Port St Lucie State: FI
Phone No. 631-495-6649
E-
Zip Code: 34953 Fax:
Mail: jpantano live.com
Phone No 772-336-2448
Fill in fee simple Title Holder on next page (if different
E-Mail tdsac@aol.com
from the Owner listed above)
State or County License CAC035553
If value of rnnctrurtinn is 7Cnn — .,,. - — nrrnnrn u_se__
_e . -
- - - ---..-�......�-. ...N rs requlrea.
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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
❑WNFR/ rn1YT0ArTnD ACCIM111r.
,y Y, I. HNP„I,dLHJn 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 1 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 Contrac or - r weer Buif er as applicable
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this day of AJ,) A &:V- 20 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)
Commission
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Notary Public StelQ of Florid#
Daniel F Macey
4 My Commission GG 254853
Expires 08122=22
FRONT ZONING SUPERVISOR I PLANS VEGETATION I SEATURTLF MANGROVE
COUNTER- REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW