HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/16/2020
•
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: M ECHAN KCAL
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 000v a vk.criN uK ?F t-H4 JLNSLN BEACH, FL 34957
Property Tax ID q: 3534-501-0070-000-8
Site Plan Name:
Project Name: FAITH CHAPMAN
DETAILED DESCRIPTION OF WORK:
REPLACE A/C EQUIPMENT LIKE FOR LIKE CHANGE OUT
TRANE 5 TON 16.5 SER SYSTEM W/ 5KW HEATER / 4TTR7060A - TEM6AOC60H
MIN 45 MAX 50 WIRE SIZE 6
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
X Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10,674.00
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FAITH CHAPMAN
Name: TIMOTHY WOJCIESZAK
Address:8650 S OCEAN DR PH4
Company:KRAUSS & CRANE INC
City: JENSEN BEACH State: F
Zip Code:34957 Fax:
Phone No.772-229-7632
Address:904 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34994 Fax: 772-283-4055
Phone N0772-287-1227
E-Mail:N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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E-MlailADMIN@KCIAC.COM
State or County License CAC1 818726
---•---•--••-••- •�•• +��.uw�v,a ncwnu�u rvoncevruommencementis required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
S PPLEMENTAL CONSTRUCTION LIEN LAW 1 ' FORMATION:
DE IGNER/EN EER: _Not Applicable
Nam
MORTGAGE COMPANY: _Not Applicable
Nam
Address:
ress:
City: State:
Zip: Phone
City: State:
Zip: one:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Phone:
-• v • •+ •, ,..,. , vn rrr,vvll: Application is nereby 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.
Is In County
with any applicable lHome Owt is ners tAssociationl rulesabylaws or anti covenants that buildthe
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,
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 BEFORE RECORDING YOUR NOTICE OF COMMENCEME "
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W9/C[..r.i/CJIfG
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Signature of ner/ Less a/Cont ctor as Agent for Owner
Signature of CcWtractor. Acense Hf Ider
STATE OF FLORIDA Mariln
STATE OF F ORIDAA4&�•
COUNTY OF
COUNTY n
The forgoing instru ent was acknowledged before me
this'V day
The f^or&&oing instruT ent was acknowledged before me
of 20% by
this U day of Jam. 2006 by
-TimahiI
ynV_ 7 AJ SZGI
Name of person m king s ement.
Name of person making s atement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
produ /
Produced
na ure of N ary u I - ate oflFlor da }
(S9Pfff&r6 of ffofafy.Xiblie S a of Flo _ a
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