HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-31-19 Permit Number:
• r s
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7706 James Rd
Property Tax ID #: 1301-603-0044-000-8
Site Plan Name:
Project Name:
Building Permit Application
L DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 2.5 ton 14 seer 10 kw
CONSTRUCTION INFORMATION:
Commercial Residential X
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cast of Construction: $ 2900.00 Utilities: —Sewer — Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Ana Maria Landoni Name:Shyan Wojtczak
Address: Ave Pellegrini # 345 Appt 9 Company: Cool Air Solutions of Florida, Inc.
City: Santa Fe, Null State: _ Address: 6903 Cabana Lane
Zip Code: 00000 Fax: City: Fort Pierce State: FL
Phone No. Zip Code: 34951 Fax: 772-801-5398
E-Mail: Phone No 772-634-0491
Fill in fee simple Title Holder on next page ( if different E-Mail coolairsol@gmail.com
from the Owner listed above) State or County License CAC# 1819009
-----••• •• •'"•••-"• ""••— ram-• u 01 11101 C, a nM.UntJCu I'lutice or Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL :CONSTRUCTION' LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not App}icable
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:
j Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicarea.
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 Dome 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 THE .1OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
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Signature r&Owner/ Lessee/fig' ntraAlor as Agent for Owner
Signature ofE6ntractor/Licerise Ho{der
STATE OF FLORIDA
STATE OF FLORIDA
7y`� Cn y(:�r
COUNTY CIF � + �+�"
COUNTY OF +fir
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -31 "� ay of C%C_ _ 20 by
this _ day of C)C_-j"- 20_ by
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
RIGH WLANIB
ignature f_No S$Vwdf?�3o89 7
(Signature '-?u
EXPIRES April 03. 202t
MY G4i41lMESSEON # GG069907
EXPIRES ApM OX-'"2*
Commission No. Seal
Commissior
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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DATE
COMPLETED