HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-9-19 Permit Number:
•
4 i
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: MechanClal
PROPOSED IMPROVEMENT LOCATION:
Address: 6211 Arlington Way
Property Tax ID #: 1312--501-0109-000-3
Site Plan Name:
Project Name:
Building Permit Application
Commercial Residential X
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Like for like AC changeout 3 ton 16 seer with 10kw
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
Total Sq. Ft of Construction:
Cost of Construction: $ $3,600.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hardeo & Lollita Panchoosingh
Name: Shyan Wojtczak
Address:3840 N Desert Oasis Cir
Company: Cool Air Solutions of Florida, Inc.
City: Mesa, AZ State: _
Zip Code: 85207 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 CONSTRUCTION Ll EM LAW INFORMATION:
DESIGNERIENGINEER: _ 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 i
Name:
Address:
Address: T
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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 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 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 PAYING
TWICE FOR IMPRO'YEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MIST BE RECORDED AND
POSTED ON TIME JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT
WITH YnUR LENDER OR AN AT` ORNF-Y RF:Ff3RF RFrL)Ri iNc Yl3IIR NnTtcF nF rnmmr-turpmr-tut "
_
r Signature oPOwnerl LesseellZghtt2ktor as Agent for Owner
Signature of leantractor/Licer� }{alder
STATE OF FLORiDA ,
COUNTY OF C i .,..,...._, ... _.
STATE OF FLORIDA
COUNTY OF S+ L u C' 1 e
The forgoing instrument was acknowledged before me
f The forgoing instrument was acknowledged before me
this � day of QCk .20 15 by
this ` day of 20 In by
Name of person making statement_
Name of person making statement.
Personally Known OR Produced Identification
� Personally Known "JOR Produced Identification
i Type of Identification
Type of Identification
Produced
l Produced
.� .• R WL.AND
ignature c fJa
(Signature
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'+ ,R 1=XPJRF:S April 03, 2021
=•; :'' MY COMMISSION # Gf OSM7
Commission No. Seal
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EXPIRES Apra 0;,_831�
REVIEWS
FRONT
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SUPERVISOR �
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2v. 277/19