HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED pp��
Date: Permit Number: is CIS - 00
O
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) 4624578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED 1IVIPROVEMENT�LOCATION.
4
Address: 5205 Citrus Ave Ft Pierce FI..34982
Property Tax ID #: 3404-501-0620-000-9 Lot No. 15
Site Plan Name: Block No.
Project Name: Mercurio
DETAILED DESCRIP.,.TION,OF
Relace 2 central air conditioners with 2 new 16+ SEER Units. New dnits'are American Standard
Mo# 5 TON 4A7A706OA0001 /WITH TEM6AOC6OH41AB w/10 KW HEAT
Mo# 1.5 TON 4A7A6018B1000A /WITH TEM4AOB18S41SB w/5 KW HRAT
New Electrical Meter Second Electrical Meter (Affidavit required)
ION IN'FORMATI IN C•
ONSTRUCT
r •,
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: $ $7385 Utilities: = Sewer _Septic
Building Height:
NER/LESSEE.
CONTRACTOR
~Thomas
Mercurio
Name � � '' � � � -
Name: A Richm,ond
Conpa.ny,Treasure Coast Air Concitionin & Refrgeration
Address: 5205 Citrus Ave : ':.{ ..
City: Ft Pierce %,,,.. Stake; _FI•..��,�,4ddress::2006
32nd Ave
Zip Code: 34982 Fax:
City: Vero Beach State: FI
Phone No. 561-441-9543 E-
Zip Code: 34960 Fax:
Mail: brettmercurio18@gmail.com
Phone No 772-207-3779.
Fill in fee simple Title Holder on next page (if different
E-Mail tcacservice@gmail.com
from the Owner listed above)
State or County License CACO23475
If value of construction is 2500 or more; a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FEE SIMPLE TITLE HOLDER: _ Not Applicable "
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not°Applicable
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 Commenceme'nttlmay result in payitig,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 Ipndpr nr an attnrnpv hpfnrp rnmmpnrina wnrk nr rprnrdino vnur Nntira of rnmmanramant
ignature of Contra or - or - Owner'Builder as applicable
STATE OF FLORIDA
COUNTY OF S} Luc, -L.
Sworn tp (or affirmed) and subscribed before me of ✓Physical
Presence or Online Notarization
this I day of Nl cLrc1-% 20&%Lby
Name of person making statement.
Personally Known � OR Prod uced.ldentification
Typecation Produced
(Sign re of Notary Public- State of Florida)
,aW P
Commission No. 1-1 LOL (Seal) ;r
Notary Public State of Florida
Tracy A Stevens
�y I •.
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My Commission GG 976861
Expires 04/07/2024
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