HomeMy WebLinkAboutPermit Application for 6100 Spring Lake TerraceALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-18-18
Permit Number:
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: aluu 5pnng Lake Terrace
Legal Description:
Property Tax I D #: 1312-503-0153-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
� DETAILED DESCRIPTION OF WORK:.
AC Changeout like for like 3 ton 14 seer with 10kw heat
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION
Additional work to b rfoFm—ed under tis permit - c ec a app
y:
HVAC Gas Tank ❑Gas Piping hutters ❑ Windows/Doors
0 Electric ® Plumbing Sprinklers ® Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,400
5 Ft. of First Floor:
Utilities: �Sewer E1Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Na me Luis Taboeira
Name: Shyan Woitczak
Address: 23 Aida CT
Company: Cool Air Solutions of Florida, Inc.
p Y:
COUNTY
F L
0 R.
t D H
Permit Number:
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: aluu 5pnng Lake Terrace
Legal Description:
Property Tax I D #: 1312-503-0153-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
� DETAILED DESCRIPTION OF WORK:.
AC Changeout like for like 3 ton 14 seer with 10kw heat
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION
Additional work to b rfoFm—ed under tis permit - c ec a app
y:
HVAC Gas Tank ❑Gas Piping hutters ❑ Windows/Doors
0 Electric ® Plumbing Sprinklers ® Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,400
5 Ft. of First Floor:
Utilities: �Sewer E1Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Na me Luis Taboeira
Name: Shyan Woitczak
Address: 23 Aida CT
Company: Cool Air Solutions of Florida, Inc.
p Y:
City: Parsippany State:N.1
Address: 6903 Cabana Lane
Zip Code: 07054-2355 Fax:
City: Fort Pierce State: FL
Phone No. 973-271-2784
Zip Code: 34951 Fax. 772-801-5398
E -Mail: luis.erute2@verizon.net
Phone No. 772-634-0491
Fill in fee simple Title !Holder on next page ( if different
E -Mail: coolairsol@gmail.com
from the Owner listed above)
State or County License: 'CAC# 1919009
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:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicalple
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 thepermit holder to build the subject structure
which is in conflict with any applicable Rome Owners Association ruies, 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.
Rev. 8/2/17
C� «.
Signature o Owner/ Lessef ontractor as Agent for Owner
Signature of-Contractor/Li a alder
STATE OF FLORI A
STATE OF FLORID
COUNTY OF }� C`
COUNTY OF • Lm i -r,
The for ing instr ent was �c�k�nowledge before me
�I?rh
The fo_rgging instru e�nt was ac�knowledgecj before me
this day of r3r G 2077 by
this ay of e�_, 20LI by
Name of person making statement
game of perss'making statement
Personallv Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Ident" ' atio.,
Produced ��, L
Produced L L_
{Signature f Notary Public- State of Florida }
Stephanie
Si natur of Notarry Public- State of Florida)
IV
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YRUBE
Commission No. ($
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3
IAsion No. f SMa
-+SPATE O
OTMB�C
Camra F M7381
STAT OF FLORI
Gomm# F1"957381
f CE igt
Ex tes 2/4/102
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17