HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-28-19 Permit Number:
s
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 Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1008 Echo St
Property Tax ID 4. 3403-502-0267-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 16 seer with 8kw
CONSTRUCTION INFORMATION:
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 $3,250.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Clyde & Marcia Heffelfinger
Name: Shyan Wojtczak
Address: 1008 Echo St
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34982 Fax:
Phone No.772-370-1593
Address: 6903 Cabana Lane
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
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 CRC# 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.
SUPPLEM NTAL CONSTRUCTION UEN .LAW.INFORMATION.
DESIGN ERIENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Narne:
�
Name:
Address:
Address:
City: State'.
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER, � Not Applicable
BONDING COMPANY: Not Applicable
Dame:
Name:
Address:
Address:
City'-- -
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a pernnit 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 Horne 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, l 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 OWNEW YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEIMIENTS 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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Lczk&
Signature a0wrierl Lessee/Ltgn#raVor as Agent for Owner
Signature of0ntractar/Licence H der
STATE OF FLORIDA
COUNTY OF F LuCI e
STATE OF FLORIDA
COUNTY OF I ('
The forgoing instrument was acknowledged before me
this,2 L day cf v yS ZO�by
The for Ding instrument was acknowledged before me
this "moday of {{ " vs 20 i9 by
2—ca i1
1 i to ` `i cl- T1 � �_ _ � \_ �(
Name of person nuking statement.
Name of person making statement.
Personally Known _-----C)R Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
=.- . Ri WLAND
- --
rgnature c _So
4 ;!t EXPIRES Aprs3 03, 2t324
Commission Na. Seal
(Signature
Commission
f ` u
='. ;` MY COMMISSION # GGOWA?
EXPIRES Aprl! 04
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7119