HomeMy WebLinkAboutBuilding Permit Application Feb 0816 02:21_p Tracy D Steele A/C Inc, 772-336-4171 p.1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: 02/0812016 Permit Number:
._ RECE1V7D FEB 0 8 2716
Building Permit Application
Planning and Development Services
Building and Code Reguiation Division
2300 Virginia Avenue,Fork Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
.PROPOSED IMPROV M.E LOCATION:.
Address: 419 PAUROTIS LN.
Legal Description:
Property Tax ID#: 341050302620006 3y NO_503- d aha-d00-(-o Lot No.10
Site Plan Name: Block No. J
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRFPTION-OE,.WC)RK;:
Replace existing 3 ton heat pump with new Ruud 3 ton 15.o seer heat pump
Like for like
Models RH1T3617/RP1536
CQNSTR:UCTt N Ii..F:OR t1AF1.ON. :, ;.::: :..::.::..;_;;.:.. • .::`
ACIClitional work to 13e erformed under this permit-check all that appy:
Z✓ HVAC Gas Tank Gas Piping 1:1_Shutters Q Windows/Doors
aElectric Plumbing Sprinklers Generator Roof
Total 5q.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3850.00 Utilities:i Sewer Septic Building Height:
OWNER
Name JEFFREY EDWARDS Name: TRACY D STEELE
Address:419 PAUROTIS LN. Company: TRACY D STEELE AIR CONDITIONING INC.
City: FORT PIERCE State:FL Address: 2750 SW EDGARCE ST'
Zip Code: 34962 Fax: City: PORT ST LUCIE State:FL
Phone No.772-577-8044 Zip Code: 34953 Fax: 772-336-4171
E-Mail: Phone No. 772-215-1974
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.
Feb 0816 02:21 p Tracy D Steele A/C Inc. 772-336-4171 p.2
SURf�LE�E1�itAl :.C�Oj1}:STRUCT�Qt�:=Li... ;tAVll f:N:F;QF�MAT�O� . :: _ _ .
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 I will,in ail 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 exemptfrom 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 wok or recording our Notice of Commencement.
s
Signature of Ow er/L /Agent Signature of Cont r ctor/ se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STwcl6
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisOR day of • - LL 20 1(�,by this 08 day of FE"ARY 20 L by
TRACY D STEEIL TRACY D STERE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of.Wrida) (Signature of Notary Public-S to f Florida)
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No, _ CommisFoon
DANIEL F STACEY : �'�y`'< DANIEL F STA EY
; F081098 N#FF081095
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