HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/15/2022 Permit Number: __A. 6_6
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RECEIVED
Building Permit Application
Planning and Development Services 'MAR 16 2022
Building and Code Regulation Division St.Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting
Phone:(772)462-1553 'Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
--PROPOSED'IMPROVEMENT LOCATION: j
Address: 751 SE Solaz Avenue, Port St Lucie, FL 34983
Legal Description:
Property Tax ID#: 3419-545-0053-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Change out like for like, 1 1/2 ton unit York condenser YCG181321S, Air handler AE24BBA21, 18.5
SEER, 5KW heat.
CONSTRUCTION INFORMATION: I-
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Additional work to e nertormed under this-permit—check a apply:
ZHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $3987.00 Utilities:Sewer 11 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Albert Ritter Name: Keith Thompson
Address:751 SE Solaz Avenue Company: AC Keith Inc.
City: Port St Lucie , State:FL Address: 690 SW Pueblo Terrace
Zip Code: 34983 Fax:n/a City: Port St Lucie State:FL
Phone No.954-856-8845 Zip Code: 34953 ;Fax: n/a
E-Mail:alritter@bellsouth.net Phone No. 772-519-1351
Fill in fee simple Title Holder on next page(if different E-Mail: ackeithl@att.net
from the Owner listed above) State or County License: CAC1813976
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW'INFORMATIQN
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:
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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.: j
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 inlyour paying twice for
improvements to your property. A Notice of Commencement must be recorded ands posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comme cin ork or r enceme
our Notice of Comm
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S gnature of Owner/Less ntractor as Agen %rE wner Signature o ontractor ice e ! der
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S 1- RUC"e COUNTY OF S "rig
The for
instrument was acknowledged before me The for oing instrument was acknowledged before me
this i5 Fh day of m tl.-ck 2012 by this_ day of Mott+ 202Z by
Kti � ]bormaso•� �e� �► o�e�s�
Name of person mak n� g statement Name of person ma ing statement
Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced FL L Produced FL b
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(Signature of u lic-State o a; Notary Public state of FI ,fin ture of Nota ublic-St e= h` .'dy91Jtary Public-state of Flori
�f, _9• o= Commission#GG 22 497 9 o; Commission R GG227497
Commission No. �U2a7`t�� `lwl-l)MyComm.Expires Aug OQ$r IsslOn NO. a� oFr�°'' ��8nm.Expires Aug 10,20 2
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Bonded through National Not ry Assn. Bonded through National Notary As In.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW kEVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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