HomeMy WebLinkAboutPermit Application for 4160 N Hwy A1A Unit 1204AAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-15-19
coo r,
F i n I
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: Mechancial
PROPOSED IMPROVEMENT LOCATION:
Address: 4160 N Hwy A1A, Unit 1204A
Property Tax ID t#: 1423-506-0074-000-4
Site Plan Name:
Permit Number:
Building Permit Application
Commercial X Residential
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for Like AC changeout 3.5 ton 14 seer with 10 kw
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 _- Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: S $3900.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael & Stephanie Maddalena
Name: Shyan Wojtczak
Address:4160 N Hwy A1A, Unit 1204A
Company:Cool Air Solutions of Florida, Inc.
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No. 772-672-7026
Address:6903 Cabana Lane
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone N0772-634-0491
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailcoolairsol@gmail.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 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of ner/ Lessee/C t r as Agent for Owner
Signature ontractor/Lice er
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STATE OF FLORIDA
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The fo ing instru nt was acknowledge before me
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Name of pe r4 n making state me ne
Name of person king statementLVI
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identif' tlon
Type of Identificatio
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( ignature of otary Public- State of*Flor",,Stephanie Mour
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Expires 27412020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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COUNTER
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DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19