HomeMy WebLinkAboutBuilding Permit Application Jun 0816 01:29p Jack Frost A/C of So Fla 772-336-9032 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: C 1 AbG Permit Number:
5 - . J : -
R E C E I I'-D JUN 0 8 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-iSS3 Fax:(772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8035 PLANTATION LAKES DRIVE
Legal Description: RESERVE PLANTATION-PHASE I!A-LOT43(MAP 3X28N)(OR 3861-1540)
Property Tax JD#. 3321-803-0047-000-1 Lot)Vo.43
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment (2 systems),like for like. Two Rheem 3.0 ton 16 SEER systems with 10kw
electric neat. Condenser Model#'s RA1636AJ Air Handler Model#'s RHIT3617STANJA
CONSTRUCTION INFORMATION:
Additional work tonGasTank
orme under this —checkpermit a appy:
HVAC OGas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 0 Roof
Total Sq. Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 6800.00 Utilities:0 Sewer ElSeptic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name PAGA INVESTMENTS LLC Name: Jacques C.Stiegelman
Address: 129 QUEEN CHRISTINA CT. Company: Jack Frost AC of South Florida,Inc.
City: FORT PIERCE State:FL Address: 1716 SW Biltmore St.
Zip Cade: 34949-8364 Fax, city: Port St.Lucie State: FL
Phone No. 207-577-1580 Zip Code: 34984 Fax: (772)336-9032
E-Mail: Phone No. (772) 336-9030
Fill in fee simple Title Holder on next page{if different E-Mail: JACKFROSTFLORIDA@AOL.COM
from the Owner listed above) State or County License: CAC1815725 1 Co.25113
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun U818O1:2Qp Jack Frost A/C of@o Fla 772-336-9082 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HIOLDER- x Not Applicable BONDING COMPANY: x Not Apoticatite
Name: Name:
Address: 4ddress:
City: City:
Zip: Phone: Zip: Phone:
OWNER]CONTRACTOR AFFIDVIT:Application is hereby made to obtain a p(irmitto do the work and installation as indicated.
I certifythat no work or installation has commenced p6or 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 Astociation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consultwith 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 futl con currency review,room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your taillure 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 t"first inspecUon. If you intend to obtain financing,consult with lender or an attorney before
commepting work of recording your Notice of Commencement. A!
Signati of ownerJAee-nt1_Te—ss&e' Signature ntracIE-or/License Holder ca
rcF FLORIDA STATE FLORIDA W
COUNTY OF St.Lucie COUNTY OF St. Lucie 0: (1 —
Th a forg..*ng instruirent was acknowted ed before me The forping instrumfint was acknowledged before R LL LL
.9.&day Of by this 41f day of QLUV— 2OMby UJ *t 0
VF L,
CL 0 CN�
a. u, 2 �iignu_ f Notary Public-State of Florida)
0 W ( i ature of Notary Public-State of Florida re o
;ct E Personally Known XX OR Produced Identification NIA Personally Known XX OR Produced Identification N/A
z Type of Identification Produced Type of Identification Produce
Commission No. FF007935 (Seat) commission No. FF007935 (Seal)
Revised 07/1512014
REVIEWS FRONT ZOWNG SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
RECEIIVED
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COMPLETED