HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1116119
Permit Number:
` J It
r r
y 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
PERMIT TYPE: Mechanical
PROPOSED INPROVEMENT LOCATION:
Address: 4160 N Hwy A1A Unit 502A
Property Tax ]D#: 1423-506-0023-000-2
Project Name:
Commercial X Residential
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout 3.5 ton 14 seer with 10KW heat
CONSTRUCTION INFORMATION.
Utilities: _Sewer Septic Sq. Ft. of First Floor:
Cost of Construction: $ 4,100
Total Sq. Ft of Construction:
Lot No.
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone:_ BFE:� Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE:
CONTRACTOR:
NameJudith & Shawn Fazio
Name: Shyan Wojtczak
Address:4299 Cheyenne Cir
Company.C,00[ Air Solutions of Florida, Inc.
City: Syracuse, NY State: _
Address:6903 Cabana Lane
City: Fort Pierce State: FL
Zip Code: 13215 Fax:
Phone No..315-43674134
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
E -Mail:
Fill in fee simple Title Halder on next page ( if different
E -Mail coolairsol@gmail.com
State or County License CAC# 1819009
from the Owner listed above)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,540 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: T 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 molder 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.
Signatur f Owner/ Le Us6itontractor as Agent for Owner Signature of-eontractor/Lic&e Holder
STATE OF FLORIDA f STATE OF FLORIDA
COUNTY OF 1__0&6n P_,y e_COUNTY OF SrNQktai't 4'%V -C - _
The forgoing instrument was acknowledged before me
this I(V day of Y1 O of 20 R by
The forgoing instrument was acknowledge ff�before me
this IU day of . 2D={ -by
Gc'1 LJ() _ZL_L
i }c
Name of person making statement.
Name of person making statement.
SEA TURTLE
P
Personally Known OR Produced Identification 1%
Personally Known OR Produced Identificatid
Type of Identification
Type of Identificatiork
Produced 3
Produced F- 0L_
REVIEW
REVIEW
(Signature No ry Pu lic- State of Flprida.J
ignature of otaryPu ic- tate of""�"'�"
;•'tr++Y"�•.. MELISSADENNISTON
Commission No. I �ZS ; :" {Se I
Cary Public - StateofFlo(Aa
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mmission NoiSjl�t � ?� Notary Public -state
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Commi5sion k GG 122579
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REVIEWS
FRONTZONING
5�EPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 1/9/21J15