HomeMy WebLinkAboutBuilding Permit Application Tracy D Steele A/C Inc. 772-336-4171 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
!S
y � M ;y",� ,?1 Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address: 658 MALAYAN CT
Legal Description: PALM GROVE BLK C LOT 12
Property Tax ID#: 341050300800006 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Replace existing 2.5 ton system with new Goodman 2.5 ton 16.0 seer system with 5kw heat
Like for like
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COi115TRLfCT�ONr1NFORMAT{�Nt f ,
rtiona wor to e e orme un er t is permit-cneCK ati taivapply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric 0 Plumbing Sprinklers 13 Generator Roof
Total Sq.Ft of Construction: Scl. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer F—]Septic Building Height:
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Name Ruby Borden Name: Tracy D Steele
Address:658 Malayan Ct Company: Tracy D Steele A/C Inc
City: Fort Pierce State:FI Address: 2750 SW Edgarce St
Zip Code: 34982 Fax: City:Port St Lucie State:FI
Phone No.772-489-8795 Zip Code: 34953 Fax: 772-336-2448
E-Mail: Phone No. 772-215-1974
Fill in fee simple Title Bolder on next page(if different E-Mail: tdsac@aol.com
from the Owner listed above) State or County License: CAC035553
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Tracy D Steele A/C Inc. 772-336-4171 p.2
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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:
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 1 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
commencin ork or recording our Notice of Commencement.
I/a F Z p s
_Signature of ner/Le ese/Agent Signature of C Otr License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF StL.d. COUNTY OF StUde
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this—iftdayof 30y7 ' 20/
by this day of .120e" 20[ by
Tracy D Steale Tracy D Steele
(Name of person acknowledging) (Name of person acknowledging)
i
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of F orida)
Personally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No Commissio -®—
i�4IE� STACEY DANIEL F STACEY
DAA.. .
lP•'. .tMY COMMISSION V1703TOW
'i�y`� Cfi
Revised 07/ 5 EXPIRES February 23,2096 foFno. EXPIRES February 23.2018
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