HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: IZV Permit Number: w
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
.PROPOSED IMPROVEMENT LOCATION:
Address: 9935 Gatsby,Lane, Fort.Pierce,,FL 34945
Legal Description:
Property Tax ID#: Lot.No:
Site Plan Name: Block No: `
Project,Name:
Setbacks Front Back: ` Right Side: Left Side:
DETAILED DES"CR'IPTION'OF WORK y,
Changeout of a 3-1/2 ton packaged unit with 10 kW electric heat, 14 SEER,-like for like
CONSTRUCTION INFORMATION
Additional work toe e orme under this permit—check a appy:
HVAC 1,Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors. Ll
ElElectric 0 Plumbing Sprinklers Generator Roof '
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3800 Utilities: Sewer Septic Building Height:
OWNER/LESSf E: 'CONTRACTOR.
Name Perish" 14-66k M Name: James J Wauters
Address: Company: Just Chillin'HVAC LLC
City: �cmnpanh 8 emt l) State:FL Address: 5422 NW Cromey St
Zip Code: iu(oq Fax: City: Port St. Lucie State:FL
Phone No.713-705-2523 Zip Code: 34986 Fax:
E-Mail: Phone No. 772-940-4373
Fill in'fee simple Title Holder on next.page-(if Afferent, E-Mail: justchillinair@hotmail.com
from the Owner listed above) State or County License: 26326
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION
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 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 recording our Notice of Commencement.
Si nature of caner/Agent/Lessee- ' nature ofontrC� actor/License Holder
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COUNTY OF [ GV� COUNTY OF
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