HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONApr 13 1611:11 a Jack Frost A/C of So Fla
7727336-9032 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/13/2015 Permit Number:
w
- st. � eyNFo
,4,�,�
Planning and Development Services Building Permit Application CO
4ht
Building and F'ode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (77�) 462-1553 Pax; (772)462-1578 Commercial Residential XK
PERMIT APPLICATION FOR: Mechanical
PROPOSED INPROVEMENT LOCATION:
Address: 8753 Bally Bunion Rd., Port St. Lucie, FL 34986
Legal Description: POD 32 AT THE RESERVE PUD ill SPYGLASS LOT 23 (OR 3012-184)
P rope rty Tax I D #:
Site Plan Name:
Pro.ject Name:
Setbacks Font Back:
3334-600-0026-000-5
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace alc equipment, like for like
Trane 2.0 ton 16.25 SEER with 5 KW electric heat
"" Attic Air Handler '*"
Lot No. 23
Block No.
CONSTRUCTION INFORMATION:
itiona w r to e e orme under 5-is permit— check all apply:
❑HVAC Gas Tank E]Gas Piping _ Shutters [] Windows/Doors
aEiectric 0 Plumbing ❑Sprinklers FIGenerator 17-1 Roof
Total Sq. Ft of Construction: 5 . Ft. of First Floor:
Cost of ConS4 uction: $ 3648.00 utilities., Sewer F Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Penny Lucci
Name: Jacques c. Stiegelman
Address: 8753 Bally Bunion Rd.
Company: Jack Frost AC of South Florida, Inc,
Address: 1716 SW Biltmore Street
City: Port S,t. Lucie State: FL
Zip Code: 34986 Fax:
City: Port St. Lucie State: FL
Phone No. 772) 332-3712
Zip Code: 34994 Fax: (772) 336-9032
E-Mail:
Phone No. (772) 336-9030
E-Mail: fackfrostflorida@aol.com
Fill in fee sirnIple Title Holder on next page ( if different
from the Owher listed above)
State or County License: State CAC1815725 / Co. 25113
If value of construction is $2500 or more, a RECORDED Notice or commencement is requirea.
Apr 13 15 11:11a Jack Frost A/C of So Fla .
772-336-9032 p,3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
C itv:
Zip: Phone:
x 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 Coulnt makes no representation that is granting a permitwill authorize the permit holder to build the subject structure
which is in conliictwith 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 jobsite
before the, first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeminR work or/ecording your Notice of Commencement J
of Owner%'Agent/ Lessee
STAfE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrum # waS cknowled ed before me
this �"—tray of 20 / by
C.
(Name3�f person ack
Notary Public- State of Florida)
Personally Known XX OR Produced Identification NIA
Type of Identification Produced � PARSONS
r'
S Y PUBLIC
CommissionlNo. FF0079 OF FLORIDA
AT
- m# FFpp7935
Revised 07/15/2014
Signaturepfcvntractor/License Holder
STATEOF FLORIDA
COUNTY OF St. Lucie
The forgging instrut was acknowledged before me
this � day of m n20931 by
Jacques C
(Name of acknowle
of Notary Public- State of Florida)
Personally Known XX OR Produced Identification NIA
Type of Identification Produced
Commission No. FF007935 AM %ejqlISTINA R. PARS
N� 6TARY PUBLIC
STATE OF FLORIII
Comm# FF007935
. I Ecpires 4/23/2017
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED