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HomeMy WebLinkAboutBuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 113119 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: 5905 Eatwwod Dr. Legal Description: Property Tax ID #: 1301-613-0007-000-8 Site Plan Name: Project Name: Setbacks Front Back: I DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Like for like AC Changeout 3.5 ton 14 seer package unit with 1 Okw heat Lot No. Block No. CONSTRUCTION INFORMATION: CONTRACTOR: Name Lynn O'Brien Name: Shyan Wojtczak Additional wor to be e o—rm ed under HVAC Gas Tank this permit— check OGas Piping all appy: Shutters Address: 6903 Cabana Lane City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-801-5398 Phone No. 772-634-0491 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: coolairsol@gmail.com _ Windows/Doors Electric LJ Plumbing Sprinklers © Generator FIRoof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 2,800 UtilitiestSewer ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Lynn O'Brien Name: Shyan Wojtczak Address::5.905 Eastwood Dr. Company. Cool Air Solutions of Florida, Inc. City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. 772-332-8346 Address: 6903 Cabana Lane City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-801-5398 Phone No. 772-634-0491 E -Mail: 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: CAC# 1819009 IT value or construction is �iZ5Uo or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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: TBONDING 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 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 commencin work or recordinevour Notice of Commencement. Rev. $/2/17 Signature Ho der Signature o caner/ Less ractor as Agent for Owner of &tractor/Lice STATE OF FLORIDA I Sf kao C— STATE OF FLORIDA COUNTY OF COUNTY OF The forging instrument was acknowledged before me this 3 - day of —w.,_ 4 , 26 C� by The forgojng instrument was acknowledged before me this �roo��Jay of 26tt by rte, Loci C -G y — ��1C�n- Name of person making statement NaAe of person makii1g statement ,/ Personally Known OR Produced Identification _ ( Personally Known OR Produced Identification ,<` Type of Identification Produced �$ ClCP�Ife– Type of IdentificaVri Produced 1 'r (Signature of Notary Public- State of Flo ila j Erich Daniel ICrach ( gnature of Notary Pu lic- State of Florida } Daniel Krac NOTARY PUBLIC °r NOTARY PJBL1 p5 Ci Commission No. J� ommission No. STATE _ OF FLORI TATE O FLOR �SpAY Carom#GG1Ua92 Cam r& GGIU592' Expires &17120 t REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. $/2/17