HomeMy WebLinkAboutPermit App for 823 S Kings HwyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-16-20 Permit Number:
COUNTY
F r rs . r::.:I :r
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
PERMIT TYPE: Mechancial
PROPOSED IMPROVEMENT LOCATION:
Address: 823 S Kings Hwy
Property Tax ID#: 2311-800-0027-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC Changout 2 ton 14 seer with 5 kw
CONSTRUCTION INFORMATION:
Commercial X Residential
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:
Cost of Construction. $ 4,300.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David and Carol Bickford
Name: Shyan Wojtczak
Address: 4160 N Hwy A1A Unit 603A
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34949 Fax:
Phone No. 916-704-0131
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 $Z500 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 CONSTROCTIOk LIEN LAW 1NFORMATION:
DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY. Not A livable
Name.
Address:
City: _State:
Zip: Phone
� pp
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name.
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
uvvnmtK/ G.V1111 KAL I UK Ai t10VIT: 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;? 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 dome 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY RFFnRF 121FfYlIMINf. 'YMID NnVirc nc rniowcaurcuscw m
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Signature afk)wner/ Lessee/ ` tra'ctor as Agent 'For Owner
Signature of'%ontractor/Lice&e Holder
STATE OF FLORIDA
COUNTY OF ` t-Idr 41 vel-
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
thisl(;tdayof ,20-)C'by
The forgoing instrument was acknowledged before me
this J_L,dayof Gdn ,Gr 20 city
Name of person making statement.
Name of person making statement.
Personally Known ----'OR Produced Identification
Personally Known '— ''—bit Produced identification
Type of Identification
Type of identification
1 Produced
Produced
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Commission No. Seal
Commission
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