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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/11/19 Permit Number: COUNTY A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 2700 N Hwy Al A #908 Property Tax ID #: 1425-704-0066-000-9 Site Plan Name: Project Name: Building Permit Application Commercial X Residential DETAILED DESCRIPTION OF WORK: like for like AC Changeout Climatemaster Watersource 3 ton 16 seer no heat kit 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: $ 4,400 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Juanita & James Spence Name: Shyan Wojtczak Address: 2834 Shoal Creek Village Dr Company: Cool Air Solutions of Florida, Inc. City: Lakeland State: _ Zip Code: 33803 Fax: Phone No. 863-838-7610 Address: 6903 Cabana Lane City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-634-0491 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 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: Zi p: 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." GIB-- � Signature Owner/ Less tractor as Agent for Owner Signature Contractor. is e Ider STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF . . The forg9 ng instru ent was acknowledged before me The forgoing instrument was acknowledged before me this C P Ray of J UCH` , 20 I Of by this ay of 3 Vt—\Cc' . 20 19 by Sh +'1 Lbt ic-iza IL I SkkAcin Name of -person making statement. Name of Orson making statement. Personally Known OR Produced Identification t/ Type of IdentifiLaLion Produced = _.L -_ (Signatur f Notary Publ - e of Florida Eleanor A. Sex Commission No.6o� 1663 �� xT NOTARY PUS STATE OF FLU = Comm# GG16 REVIEWS I FRONT ZONING COUNTER REVIEW RECEIVED DATE COMPLETED ev. 2l7l19 Personally Known OR Produced Identification Type of Identifi nn Produced 1-" L �✓ L gnature-6f Notary Public --State of Florida ) on No. CsCy J 663�6 SUPERVISOR PLANS I VEGETATION I SEA TURT REVIEW I REVIEW REVIEW REVIEW Eleanor A, NOTARY F STATE OF REVIEW