HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-20-19 Permit Number:
s
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Mehancial
PROPOSED IMPROVEMENT LOCATION:
Address: 5412 Eagle Dr
Property Tax ID #: 1312-500-0100-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
AC Changeout like for like 4 ton 14 serr 10 kw
CONSTRUCTION INFORMATION:
Lot No.
Black No.
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing T Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE.
CONTRACTOR:
Name Maria Heffernan
Name: Shyan Wojtczak
Address: 4035 Caladium Cir
Company: Cool Air Solutions of Florida, Inc.
City: West Melbourne, FL State: _
Zip Code: 32904-8621 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
It value of construction is $0500 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 LEEN LAW INFORMATION:
DESIGN ERIE NGIINE ER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Dame:
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.perm€t 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 Horne 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 l 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
"WARNINC; 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 INTEND TO 0ErrAIN FINANCINC, CONSULT
WITH YOUR LENDER'OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 217/19
Signature s Owner/ Lessee/tractor as. Agent for Owner
Signature of^E6ntractor/Lice46 Heider
STATE OF FLORIDA
COUNTYOF C,/,l V
STATE OF FLORIDA
COUNTY OF 4-01c:'+--- ver
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this r `' -may of (,�' Zt] X) by
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Name of person making statement
Name of person making statement.
Personally Known OR Produced Identification
Personally Known 'L— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
'. RLAND
tgnature c _N-Mhii CC0"5SiR+D rd6pa'9g T
{Signature f ' pu
' EXPIRES April 03, 2021
°• MY COMMISSION # GG08900?
Commission No.(Seal),CommissionEXPIRESApri143yt1�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
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DATE
COMPLETED
Rev. 217/19