HomeMy WebLinkAboutPermit Application for 2700 N A1A Unit 707All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2`27-19 Permit Number:
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un
COL
F e r.
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 IMPROVEMENT LOCATION:
Address: 2700 N Hwy Al Unit 707
Property Tax ID #: 1425-704-0049-000-4
Site Plan Name:
Building Permit Application
Commercial X Residential
Project Name:
DETAILED DESCRIPTION OF WORK:
AC Change out 2.5 ton 16 seer watersource heat pump
CONSTRUCTION INFORMATION:
Lot No.—
Block No.
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,200
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer,. Septic Building.�eight:
OWNER/LESSEE:
CONTRACTOR:
Name Kevin King
Name:Shyan Wojtczak
Acldress:216 S Church St,
Company:Cool Air Solutions of'Florids, Inc.
City: Bowling Green State:
Zip Code: 43402-2815 Fax:
Phone No. 937-609-3755
E-Mail:kking7533@aol.com
Address: 6903 Cabana Lane
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
E -Mail coolairsol@gail.com
State or County License CAC# 1819009
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 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 1 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 LAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 1
Signatur f Owner/ Lese / ntractor as Agent for Owner
Signature 4 Contractor/Lies older
STATE OF FLORIDA
STATE OF FLORIDA
_
COUNTY OF _1 'fZi V Ef
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _o] day of EC)Q(r C4i J , 2ya� C 4 by
this � day of I~(EbC uCGL! __,20 1' l by
k_b 4C
Name o erson making st tement. ;
Name making statement.
Personally Known —OilP d i ti
Personally Known OR Produced Identification
Type ofIdentificatio ti ; P •.., DANIELLE L HARRIS
Produced '
'��'
Type of Identification
Produced
lard PlwWic - State of FEorida
Commission H GG 256950
NIELLE L HARRIS
•" U, �= Notary Public - State of Florida
My Comm. Expires Sep 10, 2022
Commission # GG 256950
My Comm. Expires Sep 10, 2022
(Signature of Notary Public- State of Florida)
I ature of Notary Pub ic- S at o ri oa
Commission No. pC�u1`1 (Seal)
Commission NoC—f_-)D,5(_0 ( (Seal)
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Rev. 1