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
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Name of -person making statement. Name of Orson making statement.
Personally Known OR Produced Identification t/
Type of IdentifiLaLion
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(Signatur f Notary Publ - e of Florida Eleanor A. Sex
Commission No.6o� 1663 �� xT NOTARY PUS
STATE OF FLU
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REVIEWS I FRONT ZONING
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RECEIVED
DATE
COMPLETED
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Personally Known OR Produced Identification
Type of Identifi nn
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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