HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-22-19 Permit Number:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERM IT TYPE: MechanClal
PROPOSED IMPROVEMENT LOCATION:
Address: 4180 N Hwy AIIA, Unit 1204B
Property Tax ID #: 1423-506-0138-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Building Permit Application
Commercial X Residential
Like for Like AC Changeout 3.5 ton 14 seer with 10kw
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,900.00
Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Bragg
Name; Shyan Wojtczak
Address: 4180 N Hwy A1A Unit 1204B
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34949 Fax:
Phone No. 772-519-8577
Address: 6903 Cabana Lane
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
E-Mail: braggcw@yahoo.com
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.
MENTAL CONSTRUCTION LIEN LAW I.NFORMATI.ON.
FDESIGNER/ENGINEER:Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
:
Address:
City: State:
City: - State:
Zip: Phone
i
—
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 instaliatlon as Indicated -
I certify that no work or installation has commenced prior to the issuance of a permit.
5t, Lucie County makes nv representation that is granting a permit will authorize the p ermit 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 PAY€nYC
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 DYOwner/ Lessee/ n' ttktor as Agent for Owner
Signature ofCContractor/Licerk i-Wder
STATE OF FLORIDA
COUNTY OF LU GI e
STATE OF FLORIDA
COUNTY OF . '74— L 0 C [ P
The for Ring instrument was acknowledged before me
this 55 day of i' 20n by
The forgoing instrument was acknowledged before me
thisday of 20.19 by
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Name of person making statement.
Name of person making statement.
Personally Known L"—YOR Produced Identification
Type of Identification
Personally Known ____ OR Produced Identification
Type of Identification
Produced
Produced
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EXPIRES April 03, 2021
Comm-ssionNo.Ilr Seal)
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Commissior.€
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EXPIRESApM0'X3M2J
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
j
RECEIVED
DATE
COMPLETED
ev.