HomeMy WebLinkAboutPermit Application for 2110 W Boothe DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-29-19 Permit Number:
•
i Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2110 West Boothe Drive
Property Tax lD #: 2421-331-0005-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
AC Changeout like for like 3 ton 14 seer with 10kw
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit— check all that apply:
Mechanical Gas Tank — Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ $3,600.00
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kim Bolin
Namc: Shyan Woitczak
Address: 2110 West Boothe Dr
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34982 Fax:
Phone No. 772-201-7612
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@gmaii.com
State or County License CAC# 1819009
if value of construction is 52500 or more, a RECORDED Notice or Lommencemeni is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CO:NSTR1
DESIGNERIENGINEER:
Name:
Address:
City:
JCfION LIEN LAW INFORMATION:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Andress:
State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Nance: Name:
Address: Address:
City: City:
Zip: Phone: Zip_
Phone:
vrd .�ra/ %.Wigs r% tt,i use wrriuvl I: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noworkwork or installation has commenced prior to the issuance of a permit.
wh ch is inoconflict with any applicableiHo eaOwnerstAssociati permit
rul{es authorize
y bylaws or andpcovenantsthto at build
subject
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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follow9ng building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wails, 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
TV"CE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDER AND
POSTED ON THE .SOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT
WIT" YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature raf Owner) Lesseel0ghtzictor as Agent for Owner Signature of Eantractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF r le i COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -day of 20 �C)by this�)-"&ay of Pe C_ 2Q�.�by
Name of person making statement, lyame of person making statement.
Personally Known . FOR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ignatura f ado #�I�t$IS$RiI�899Ck7 (Signature fluND
EXPIRES April 03, 2021 :: :°; MY COMMISSION # GGON07
Commission No. Seal Commissio i „ EXPIRES Ap6f 0XSJ924
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
3 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.