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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/01/2022 Permit Number:
.1 LL��
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
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 #:
Site Plan Name:
Project Name:
332870100240002
DETAILED DESCRIPTION OF WORK:
SYSTEM [21
Replace existing 3.5 ton system with Goodman 3.5 ton 16.0 seerl Okw heater
Models GSX16042 & ASPT49D
x
Lot No._
Block No.
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: $ 5000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John Mitchell Name: _. Tracy Steele
Address: 7985 Saddlebrook Dr Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State: A Address: 2750 SW Edgarce St
Zip Code: 34986 Fax: City: Port St Lucie State: Fl
Phone No. 772-332-3186 E- Zip Code: 34953 Fax:
Mail: themitch@mac.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
_..._........,...... ............. ww v. ..,wn c, a IN�nvE� [YU[ll.e L11 %.Ur[Yrriencemem is requires.
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
Name: _
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
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 attornev before commencine work or recordine vour Notice of CnmmPnr.PmPnt
signature of contractor - 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
Ws I day of _�J 4 gy,* . t- 2022 by
Tracy D Steele
!Name of person making statement.
Personally Known X OR Produced Identification
Type of Id ntification Produced
(Signature of Notary Public- State of orida)
Com o
yx" Notary PUWic Stet+ of Florida
* oaniei F Stacey
4 My Commission CG 251653
Ex irRs t11112212022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/2-1