HomeMy WebLinkAboutMorales, Ruben - Permit Application 392022All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/2022 Permit Number:
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
PERMIT APPLICATION FOR: A/C Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 9264 Short Chip Circle, Port St Lucie, FI 34986
Property Tax ID #: 3334-501-0224-000-9
Site Plan Name: LAKES AT PGA VILLAGE (PB 43-32) BLK D LOT 86
Project Name:
DETAILED DESCRIPTION OF WORK:
like for like ac change out. 4 ton 14.5 SEERwith 10kw electric heater.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 7170
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Lot No. 86
Block No. D
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Ruben Morales
Name: Anthony Fenn
Address: 9264 Short Chip Circle
Company: Assured Air Conditioning
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No. (917)922-5596
Address: 278 NE Surfside Ave
City: Port St Lucie State: FI
Zip Code: 34983 Fax:
Phone No (772)202-2005
E-Mail: rubmoral324Q gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail anthony.fenn(?P assuredairconditioning.com
State or County License CAC1820274
u vdWe or consirucuon is LSuu or more, a KtLUKUtU Notice of commencement 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
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 recording ur Notice of Commencement.
Signatu of Owner/ Lessee/Contractor as Agent for Owner
Signature of tractor/License Holder
STATE OF FLORIDA
COUNTY OF ST,
STATE OF FLORIDA
COUNTY OF Srt- kQ, f
Sw9rn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this day of M C�_ CV' c-\ , 2020 by
AwA-Lo A \{ -�e'eA
Swprn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this _�i_ day of Mox c� — 20220 by
O A
Name of person ma ing statement.
Name of person king statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification .f
Type of Identification
roduced
Type of Identifipation
Produced :16JC�-5 uce_Nc
(Signature of Notary Public- of Florida)
(Signature of -Notary Public- State of Florida )
/State
Commission No.669g6gq 13 (Seal)
Commission No. (C' (Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20