HomeMy WebLinkAboutBuilding Permit Application Jan 12181817o Tracy DSteele A/C Inc. 772-336-4171 p1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 89 ACCEPTED
Date: Permit Number: L.01
MOW M
Building Permit Application JAN 12 2016
Planning and Devebpment Services
Budding and Code Regutation Division PERN11TTING
2300 Virginia Avenue,Fort Plerce FL 34982 St. Lucie County, FL
-1578 Commercial
Phone:(7721462-1553 Fax:(772)462 Residential
'
PERMIT APPLICATION FOR: Mechanical
Address: 10059 PERFECT DR
Legal Description: Golf Villas I I Unit 64
Property Tax ID 3327*70300160006 Lot No._
Site Plan Name: Block No.
Project Name,
Setbacks Front Back:—Right Side: Left Side:
Replace existing 2 ton unit with Goodman 2 ton 14.0 seer Ejkw heat unit
Like for like
Models GSX14024/AWUF2505
FORM
Additional work t openerformed under this permit—CtleCK all mat apply:
ZHVAC Gas Tank []Gas Piping 0 Shutters F�Windows/Doork
0 Electric Plumbing OSprinklers 0 Generator 0 Roof
Total Sq.Ft of Construction: S Ft of First Floor:
Cost of Construction:$ 3200.00 Utilitiesln Sewer OSeptic Building Height:_
ER
RACTO
Name Neat Musser Name: TraCy D Steele
Address:6140 NW Gaylord Ter Company: Tracy D Steele Air Cond.Inc.
City: Port St Lucia State,FI Add ress. 2760 SW Edgarce St
Zip Code: 34986 Fa I x: City: Port St Lucie State:F1
Phone No.772-579-7092 Zip Code: 3495:3 Fax: 772-336-2448
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: CAC0355,53
If value of construction is$200 or more,a RECORDED Notice of Commencement is required.,
'
Jan 121610:17a Tracy D Steele A/C Inc. 772-336-4171 p.2
�SEJORL ..M. . :,.. .. ..: ,
..� . � :T�4t COtVSTRU.CTiO1�1:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: T 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 contlictwith 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.
Cci' f c .✓t d' s
Signature of wner/ ee/Agent Signature of ContractorVlkense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OE St Lade COUNTY OF S t-vde
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this )2 day of ..}ALT',M r-�.Z\ 2D Lby this 72 day of Jen,,y 20 l b by
Tracy DSteele 1 Tracy D$Ieele
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-Staffi of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known K OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. o.,.—.` ea Commission
DANIEL F STACEY 8#ld
+rt_ tEL F TA EY
rr.. .�i - MY COMMISSION#FF081098
°ii Y OM 'r':
'.;: °i jt•.',? pyo?.' EXPIRES February 23,2018
MEXPIRES February 23,2018
Revised 07/15/2 3n„86.pt53 FloridallotaryServlce.com (407)398-01sa FlorldallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS