HomeMy WebLinkAboutPermit Application for 8001 Citrus Park BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-11-19
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: 8001 Cirtus Park Blvd
Property Tax ID #: 1301-607-0131-000-7
Site Plan Name:
Permit Number:
Building Permit Application
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3 ton 15 seer with 10 kw
CONSTRUCTION INFORMATION:
Commercial Residential X
IM01161w
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: $ 3,200.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Mark Eisenhardt
Name: Shyan Wojtczak
Address: 1860 Sourwood Blvd
Company: Cool Air Solutions of Florida, Inc.
City: Dunedin, FL State:
Zip Code: 34698 Fax:
Phone No. 727-288-1875
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 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.
SUPPLEM.ENTACCONSTRUCTION Ll EN: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: Pho e:
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'li as commenced prior to the issuance of a permit.
St. Lucie Counry makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anti covenants that may restrict or prohibit such
structure. Please consult with your Howie Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, E do hereby agree that 1 will, in ail 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 FINiNANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
i if
Signature afOwnerf Lessee/ ' t-duor as Agent for Owner
STATE OF FLORIDA
COUNTY OF si. L UC , E
The for Ving instru ent was acknowledged before me
this ([_day o€ Z;�±: 20__b by
5' 1,. i 01 I L--,-) ') +�Z_Ct LC
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
igriature c1No MWCC�*$fdfi90899 7
' Y hci EXPIRES April 03, 2021
Commission NO.Seal
Signature of contractor/Licence folder
'STATE OF FLORIDA
COUNTY OF ,S� Luc-, c
The forgoing instrument was acknowledged before me
this 844' day of SF i- 20;)Q by
Dame of person making statement
Personally Known _— OR Produced Identification
Type of Identification
Produced
(Signature f 'V.P1RESApdI04_9MJ
='OMMISSION # GGO"W?Comrnissio
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAIDS
VEGETATION
SEA TURTLE
MANGROVF
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
_
COMPLETED
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