HomeMy WebLinkAboutPermit Application for 4180 N A1A 1304B All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-6-19 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 X Residential
PERMIT TYPE:Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4180 N Hwy A1A, Unit 1304E
Property Tax ID#: 1423-506-0143-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
AC Changeout like for like 3.5 ton 14 seer with 10 kw heat
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical —Gas Tank _Gas Piping _Shutters T Windows/Doors
_Electric —Plumbing T Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ $3,900.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Jerome & Kathryn Iplian Name: Shyan Wojtczak
Address: 4429 N John Young Parkway Company: Cool Air Solutions of Florida, Inc.
City: Orlando State: Address: 6903 Cabana Lane
Zip Code: 32804-1940 Fax: City: Fort Pierce State:FL
Phone No. 847-814-5022 Zip Code: 34951 Fax: 772-801-5398
E-Mail:jeripjian@aol.com Phone No 772-634-0491
Fill in fee simple Title Holder on next page(if different E-Mail coolairsol@gmaii.com
from the Owner listed above) 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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
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 JOB SITE BEFORE THE FIST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatu of Owner/Le se /Cdntractor as Agent for Owner Signature of tractor/Lice se of er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF I v)T,r�a 11 i-..) V� I COUNTY OF ) Y.'j ti �I v
The forgoing instrurpept was acknowledged before me The forgoing instrutri nt was acknowledged before me
this (-.e day of r—C�A 20 )G by this t-F day of ,20)!) by
Name o erson makings tement. Name of erson making statement.
Personally Known Q aced IdmAtliif¢ ious� Personally Known
Type of Identification N ta:yFjQ c—State ofForda Type of Identification CATI#IELEESTv�L
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Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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