HomeMy WebLinkAboutBuilding Permit Application Nov 0516OQ:UQo Tracy OSteele A/C Inc, 772-336-4171 p1
Property Tax JD#: 130161400170004 Lot No.17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11104/2015 - Permit Number
REM"— Nov 05-206
Building Permit Application
Planning and Development Services
60ding 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: To Select from dropbox'. click arrow at the end of line SC.
PROPOSED im OW
Address: 5502 Killarney Ave
Legal Description. Lakewood Park Unit-12
'
Site Plan Name: Block NO. 157
Project Name:
Setbacks Front. Back: Right Side: Left Side:
Replace existing 3 ton a/c with new 3 ton Ruud 15.5 SEER wt8kw heat
Like for like
Models RA16036/RHIT3617
b—t erlormed under this j5ermit––check app
11 Electric Q Plumbing Sprinklers OGenerator Roof
Tota I Sq.Ft of Co nstru ction: Sq.Ft.of First Floor:
Cost of Construction: 4150.00 Utilities: Sewer 0 Septic Building Height.
OWNER T
Name Wvia Benson Name: Tracy D Steele
Address:5502 Killarney Ave Company: Tracy D Steele AtC Inc
City: Ft Pierce State:FI Address: 2750 SW Edgarce St
Zip Code: 34951 Fax: City: Port St Lucie State:.R.—
Phone No. Zip Code: 34953 — Fax: T72-336-4171
E-Mail-n/8 Phone No. 772-336-2448
Fill in fee simple Title Holder 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.
Nov 0515 09:09a Tracy D Steele A/C Inc. 772-336-4171 p.2
UPi L;EIUIE }TAI;.CF3NSTRlJ i'!C}N EIEN:LAiN�{�fFaRMA�'1C?.M.
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 Applica ble
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
11 makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Please consult withpyolur Home Ownners Associat on ndrreviiewyyour deed for any resttrlts�that
whrestrict
h m y apply�lblt such
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
commencing work or recording our Notice of Commencement.
s
Signature of;606r,f ssee/Agent Signature of an or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF F-d8 COUNTY OF Fl-ida
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this* day of l_ F� . 20 L2by this °K day of "°�'nb°r za x5 by
Tracy D Steele 1 Tracy D Steele
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public--5t-ate of Florida} {Signature of Notary Public-State of Florida}
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. � "4 .pANIELW&ACEY Commission No. ,^ ANIE0102I ACLY
ice: MY coMMiSSION rFF681096 MY COMhfiSSiON 4FF061098
ReV7Sed 07/1 153 noriclallotaryService.cem (607)39"t53 FbrkJ;MotvVSeMae.ecm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS