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HomeMy WebLinkAboutPermit App for 3100 N Hwy A1AAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9-29-19 i . i Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 3100 N Hwy A1A Property Tax ID #: 1425-606-0083-000-3 Site Plan Name: Project Name: Permit Number: Building Permit Application Commercial X Residential DETAILED DESCRIPTION OF WORK: Like for like AC Changeout. Two 10 ton Watersource heat pumps, 14 seer, no electric heat 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 Total Sq. Ft of Construction: Cost of Construction: $ 25,300.00 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height- OWNER/LESSEE: CONTRACTOR: Name Sands on the Ocean Section 1 Association Name: Shyan Wojtczak Address: 3100 N Hwy Al Company: Cool Air Solutions of Florida, Inc. City: Fort Pierce, FL State: _ Zip Code: 34949 Fax: Phone No. 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. SUPPLEMENTAL CONSTRO(TION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:.. Name: Address: _ Address: City: State: City: State: zip: Phone Zip: phone: FEE SIMILE TITLE HOLDER: � Not Applicable BONDING COMPANY: Not Applicable Name: 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 installation as indicated_ I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Coun 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 Hone Owners Association bylaws rules, or anc# 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 TIME JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITFI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." I-i cr,-- 5L -itk w-T' ca- I (' Signature aP l Owner/ Lessee/ cbitdLtor as Agent for Owner Signature ofC-intractor/Licen&e der STATE OF FLORIDA ., COUNTYOF - �1,�.f.f,.- ,.,._.__ STATE OF FLORIDA COUNTY OF � (-uc The forgoing instrument was acknowledged before me this T3 day Sf _ 2Q /�dby The for Ding instrument as acknowledged before me this day©f ZO by � } 'may) t� f �!r!� � % . t 1 Gi ! � \,�(� Name of person making statement. ,.1 Name of person making statement. Personally known --- OR Produced Identification Personally Known L— -OR Produced Identification Type of Identification Type of Identification Produced Produced ignature c f R o EXPIRES April 03, 2021 Commission No Seal (Signature Commissio If ` u =`i '= MY COM1NI8=N # dGtf899F17 EXPIRES Apra03( 8AMf) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED :��V.2/7/19