HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J - -
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
PROPOSED IMPROVEMENT LOCATION:
Address: 10210 ISLES OF PINES CT
Legal Description:
Property Tax ID #: 332180200170009
Site Pian Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 11
Block No.
Replace existing 3.5 ton system with new Goodman 15.0 seer, 3.5 ton, 10kw straight cool
Models GSX16042/ASPT59C
Like for like
A itionaTvJorkto be erformed under this permit — check all apply:
HVAC E] Gas Tank FIGas Piping Shutters L____V. Windows/Doors
11 Electric Q Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 4000.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FinklCorman
Name: TRACY D STEELE
Address: 10210 ISLE OF PINES CT
Company: TRACY D STEELE AIR CONDITIONING INC
City; PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 717-818-8759
Address: 2750 SW EDGARCE ST
City: PORT ST LUCIE State: FL
Zip Code: 34953 Fax: 772-336-4171
Phone No. 772-215-1974
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: tdsac@aoLcom
State or County License: CAC035553
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 word or recording your Notice of Commencement.
_ Signature of
STATE OF FLORIDA
COUNTY OF FLORIDA
nt
The forgoing instrument was acknowledged before me
this '?-i day ra.20 t7by
DANIEL IF STACEY
rr MY COMMISSION #FF081098
TRACY p STEELlk .' EXPIRES Febris
(Name of person,acl �wLedgingaddallotaryServiee.cora
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of identification Produced
Commission No. (Seal)
Revised 07/15/2014
Signature of CorMact€rMcense
STATE OF FLORIDA
COUNTY OF FLORIDA
The forgoing instrument was acknowledged before me
this i -1A day o L r ACEY
MY COMMISSION #FF081098
TRACY o STEELE mFnota EXPIRES February
(Name of pers din +idallolaryService.Com
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
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