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HomeMy WebLinkAboutPermit App for 3210 S Lakeside Circle Unit 3106All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10-2-19 • 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: 3210 S Lakeside Circle. Unit 3106 Property Tax ID #: 1425-605-0030-000-1 Site Plan Name: Permit Number: Building Permit Application Commercial X Residential Project Name: DETAILED DESCRIPTION OF WORK: Like for like AC changeout 3 ton 15 seer with 10kw heat CONSTRUCTION INFORMATION: Add itionai 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: $ $4,400,00 Generator Sq. Ft. of First Floor: Lot No. Black No. Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Jen Marsh Name: Shyan Wojtczak Address: 3210 S Lakeside Circle Unit 3106 Company: Cool Air Solutions of Florida, Inc. City: Hutchinson Island, FL State: _ Zip Code: 34949 Fax: Phone No. 973-405-7904 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 CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Net Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name, Address: City: Zip: Phone: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated- [ certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County snakes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable }forge 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, € do hereby agree that € 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 INTENT) TO OBTAIN IFINANCINC, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_" .�` C' _ Signature af1©wner/ Lessee/Obhtcktor as Agent for Owner Signature ofC-€sntractor/Licer3seHeider STATE OF FLORIDA.. STATE OF FLORIDA COUNTY OF COUNTY OF S-T- Qc7- I (z- The -Forgoing instrument was acknowledged before me The forgoing instrument was acknowledge efore me this "�dayof aC4' zoby this day of_f} 20/by U�J Cl') -t-L 2— Q �+ 61 C -t h Name of person making statement. Name of person making statement. Personally Known FOR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced gnatureo �airi€i'c.!1�Ilfl#E#�p�� �7 [Signature f ' ujumom ND =" •f EXPIRES Rprit 03. 202' =' My WMMISSl0N # GG08N07 Commission No.y ' Seal Commission EXPIRES ApriE 03„St31� REVIEWS FRONT ZONING i SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE f COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE E' € RECEIVED € DATE COMPLETED