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HomeMy WebLinkAboutPermit Application for 7103 Cabana LaneALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-16-18 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical El PROPOSED IMPROVEMENT LOCATION: Address: 7103 Cabana Lane Legal Description: Property Tax ]D#: 1301-613-0321-000-5 Site Plan Name: Project Name: Setbacks Front Back: _ Right Side: Left Side: like for like AC changeout 4 ton 14 seer with 1 Okw heat RIHUAC LJ Gas Tank 11 Electric ® Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 3.800 Lot No. Block No. under this permit — check all apply: ®Gas Piping _ Shutters Q Windows/Doors Sprinklers Generator 1:1 Roof Roof pitch S Ft. of First Floor: Utilities: oSewer septic Building Height: OWNER/LESSEE:: CONTRACTOR:_ Na me Sheryl Akins Carter Name: Shyan Woitczak Address: 7103 Cabana Lane Company: Coot Air Solutions of Florida, Inc. City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. 315-244-4221 Address: 6903 Cabana Lane City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-801-5398 Phone No. 772-634-0491 E-Mail:shakins_2000@yahoo.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: coolairsol@gmail.com State or County License: CA # 1819009 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 your Notice of Commencement. Signature of Owner/ LesseeVLbr4actor as Agent for Owner Signature o ontractor/Lic s H der STATE OF FLORIDA• r GUS STATE OF FLORIDA r COUNTY OF COUNTY OF Cr The forg Wg instruTpent was aeknowledg before me $ The forge instru ent wa acknowledged before me thisday by this day of &/e A4 a— , 20� by of 141 20/y SITYAN WOJTCZAK SITYAN WOJTCZAK Name of person making statement Name of person making statement ,/ Personally Known OR Produced Identification. Personally Known OR Produced Identification` Type of Identific�Fa}�tion v �rr`t�fK� Type of Identjfication �irCdC Produced V�rwl, Produced {Signatur of Notary Public- Sta a of Florir4 Daniel Krach (Signa re of Notary Public- 9tate of Florida ) RY PUBLIC' ?91E OF FLORIDA Commission No.G& ©� &Wm1% Erlch Daniel Kra (aI5 (a Commission No. NOTARY PUBLi Comm# GG105925 STATE OF FLO a 7/2021 • Cdrn+m# GG10.5 Iruf Ila Expires 5/17/2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17