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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:V (p NMI': R SCAN D SCANNE9 - — - Building Permit Application w�va�yy BY Planning and Development Services St. Luciecoun4v Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential P}Ey/R�MIT}T�jYPgEAC Change Out �PrµiV/.�A�C,4+�14Y1���yU�,f• �'.1 �iW17V�(diV 3 .Si `e+. ,su» `n* ��o-z ' ti Address: 900 N Rock Road Fort Pierce, FL 34945 Property Tax ID #: 2311-210-0000-000-6 Lot No. Site Plan Name: St Lucie County Jail Block No. Project Name: St Lucie County Jail HVAC Upgrade Exact Replacement of 450 ton centrifugal chiller # 3 Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 192,974.00 _ Generator Sq. Ft. of First Floor: -Windows/Doors r Roof Pitch Utilities: _Sewer _Septic Building Height: Name St. Lucie County Name: John Kenneth Walsh Address: 2300 Virginia Ave Company: Trane City: Fort Pierce State: _ Zip Code: 34982 Fax: 772-362-1704 Phone No.772-262-1700 Address:2884 Corporate Way City. Miramar State: FL Zip Code: 33025 Fax: Phone No 954499-6900 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail stephen.landry@trane.com State or County License CMC1249843 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. u Sl3 h; GONT Utti 1l.V1Iyl IN�t2> ; DESIGNER/ENGINEER: _ Name:= o--bd.n Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Add reSS:3501 gUADRANGE bLVD SUITE #100 Address: City: odando Zip: 32817 Phone407-3e041400 State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: _Not Applicable 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 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Digitally signed by: John Walsh CN =John Walsh email = Johnmal0 John- W I a sr� IsN-Jo =US =Trane Signature of Contractor/Licens 31ogles Ou = I rane .. nc. Signature of Owner/ Lessee/Contractor as Agent for Owner - ate: 2022.01.06 08:26:56-05'00' STATE OF FLORIDA COUNTYOF S�, `ate STATE OF FLORIN COUNTYOF uti The forgoing instrument was acknowledged before me thisZ? day of� _k9!3jC n.4 .2022by The forggoing instrument was acknowledged before me this _l, dayof �Q✓ttRCt_fL7 20Zzby Sco++', (�c1MiI ( S+42a� Name of person makings atement. t Name of person m king statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatio Produced Produced o oa (Signature of Nota gurofNN i- $ Ay� !g- WAMC01E fRE"•'°+, A pEzpire572/7020T2 5SYM� Commission No M Commission o Gv6�?3867 sfo. WTl N Mu:s � . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/ y/ ly