HomeMy WebLinkAboutSLC Laferriere.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/102021 Permit Number:
Well
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE: HVAC Change -out
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 5722 Travelers Way, Ft Pierce 34982
Property Tax ID #: 341050300630001 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2 ton system with Goodman 2 ton 14.0 seer w/5kw heat
Models GSX16024 & AWUF2505
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 J Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4500.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Donald Laferriere
Nam .Tracy D Steele
Address: 5722 Travelers Way
Company:Tracy D Steele Air Conditioning Inc
City: Ft Pierce State:FL-
Zip Code: 34982 Fax:
Phone No.860-878-2835
Address:2750 SW Edgarce St
City: Port St Lucie State: i=I
Zip Code: 34953 Fax:
Phone No 772-336-2448
E-Mail: cabanerouge@yahoo.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
if value of construction is 52500 or more, a RECDRDtD Notice of [.ommencemeni is regwreu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
OWIYFR/ rnPJT0ArTn0 ArEIrIA11r. .
Zip: Phone.
-- - -� • • 9 PW V J I . M4J}J11Lduu11 is nereDy mace 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING --
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTICE OF COMMENCEMENT." ° NSULT
Signature of Ownert Less Contractor as Agent for Owner
Signature of Con act Li ease Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LJCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this it) day of March 20 by
this 10 day of March 20� by
TRACY D STLELE
TRACY p STEELE
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known S OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
C—,p
(Signature of Notary Public- State of Florl a
(Signature a Notary Public- State of Florida j
Cnmmissio a
Commission No. (Seal)
Nptary PttGkC State of Florida
My Comm' ion GG 251653
REVIEW „ OW"'saal �MING PERVISOR
o ry a tate of Florida
PLAN G T ,St 144A LE MANGROVE
REVIEW
REVIE a 1L 6ri*e$fla12120WVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.