HomeMy WebLinkAboutBuilding Permit Application Jan 081610:14a 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: I u o 11 1
Building Permit Application
Planning 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
PROPOSEI)`IMPROVEl11 ENT LO-CATION..
Address: 3351 Twin Lakes Ter Apt.206
Legal Description: Lakeshore Village of Meadowood Ph.1 Bldg.3008 U-206
Property Tax ID#: 132770400960007 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEI)'DESMPTON OF_WORK:. : :.
Replace existing 5 ton a/c system with new Rudd 5 ton 16.0 seer 10 kw system
Like for like
Models RA16-601RH1 T6 07-1
CONSTRUCTION:INfOR A—T—ION..:::
Aciditional work toe performed un ert ispermit—c ec a appy:
HVAC 11 Gas Tank E]Gas Piping OGenerator
Shutters Windows/Doors
11 Electric 1:1Plumbing Sprinklers Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor.
Cost of Construction:$ 5250.00 Utilities: Sewer Septic Building Height:
.'0WNER%LESSEE: ::. :CQN 'RAGTOF :.
Name Johnson Bell Name: Tracy D Steele
Address:3351 Twin Lakes Ter#206 Company Tracy D Steele Air Conditioning Inc
City: Fort Pierce State:Fl Address: 2750 SW Edgarce St
Zip Code: 34951 Fax: City: Port St Lucie State:FI
Phone No.772-475-7742 Zip Code: 34953 Fax: 773-336-4171
E-Mail: 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.
Jan 081610:14a Tracy D Steele A/C Inc. 772-336-4171 p.2
SIJPPGIV`I•AL.C{3N5'TRUCTtQN :1;EN t:A1dU lN .ORM�1T[ON :::.. .
:.: .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: rNot 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 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 recordingyour Notice of Commencement.
S
_Signature of ner/ see/Agent Signature of Co tra o fLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT.-c,E COUNTY OF ST.wae
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this % dayof s� 20 aby this a day of J^"u^R .20 !6 by
TRACY D STEELt� TRACY 0 STEELE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Sta a of Florida) (Signature of Notary Public-Stat lorida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No.
,.�___`,,, +; "•'�, DANIEL F STACEY
,/-9-- , DANIEL F STAC i.; :
"• MYCOMMISSION#FFW109a
Revised 07/15/2014 '+� --•d°>r `�?ari��' EXPIRES February 23,2018
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