HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-16-09 Permit Number:
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uilding Permit Application
Planning and Development Services
$uilding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:Mechancial
PROPOSED IMPROVEMENT LOCATION:
Address: 5709 Deer Run Dr. 4F
Property Tax ID #: 1407-601-0040-0009
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 2.5 ton 14 seer with 10 kw
CDNSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical T Gas Tank —Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,900.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameCarol & Mike McLaughlin
Name: Shyan Wojtczak
Address: 212 Ivy Rd
Company: Cool Air Solutions of Florida, Inc.
City: Egg Harbor Township, NJ State: _
Zip Code: 08234-8430 Fax:
Phone No.609-238-8833
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@gmall.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.
SUPFL:E.MENTA :CONSTRUCTION LIEN LAW INFORMATION;
DESIGNERIENGINEER: � NotApplicable
MORTGAGE COMPANY: � Not Applicable
Name:
Name:
Address:
Address:
City: State;
City: State:
Zip: Phone
_.._
Zip: Phone:
FEE SIMPLE 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 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNEW YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMiPROYEMENTS 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.c�0Owner/ Lessee/ ` tzAtor as Agent for Owner
Signature of C-nntractor/Lice 14older
STATE OF FLORIDA '/�
COUNTYOF �c�G.,1 re-IV�
STATE OF FLORIDA,
COUNTY OF _ i hdrr—� 12f liF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of QC , 20� by
this _ / Le day of h 20_ by
i
s �.
z-q K
Name of person making statement.
.-
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
WLAND
tgnature c So 1aic�ic6la6AlSS44�ii![��R9�T
{Signature
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EXPIRES April 03, 2021
='; •: My COIL MISSION # G1308M7
Commission No. Seal
Cammissio
EXPIRES Apr# 03�3WJ
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
i
DATE:
COMPLETED
ev. 2/7/19