HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/01/2022 Permit Number:
D in' 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7985 Saddlebrook Dr, PSL, 34986
Property Tax ID #: 332870100240002 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
SYSTEM [1]
Replace existing 3.5 ton system with Goodman 3.5 ton 16.0 seerl Okw heater
Models GSX16042 & ASPT49D
New Electrical Meter Second Llectrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
x_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing — Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
(Affidavit required)
Windows/Doors Pond
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John Mitchell
Name:
Steele
Address: 7985 Saddlebrook Dr
_Tracy
Company:
Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: FI
Zip Code: 34986 Fax:
Phone No. 772-332-3186 E-
Address:
2750 SW Edgarce St
City:
Zip Code:
Phone No
Port St Lucie State: FI
34953 Fax.
772-336-2448
Mail: themitch@mac.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail tdsac@aol.com
State or County License CAC035553
.. — VI t.V.43 L1 UL LIUpt , L3VV VI MVll:', d r%C%-VKUCU NOTICe or Lommencement 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
MORTGAGE COMPANY: Not Applicable
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
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 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 recordin our Notice of Commencement.
Signature of Contra or - r - Owner Builder 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 M A FJ 20_2Z by
Tracy D Steele
Name of person making statement.
Personally Known X OR Produced Identification
Type of ld`i�ntification Produced
(Signature of Notary Public- State of orida)
Com o
Notary Public State of Florida
Daniel F Stacey
F�,►
My Commission GG 251653
Y_N_d;
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