HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-13-2020
a -
O r
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: 3248 Perigrine Falcon Dr
Property Tax ID #: 3424-800-0027-000-2
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 14 seer package unit with 10 kw
CONSTRUCTION INFORMATION:
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: $ 4175.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name William & Blanche Loviska
Name: Shyan Wojtczak
Address: 3248 Perigrine Falcon Dr
Company: Cool Air Solutions of Florida, Inc.
City: fort St Lucie, FL State: _ _
Zip Code: 34952p Fax:
Phone No.
Address: 7901 Sanatana Ave
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@gmall.com
State or County License CAC# 1819009
If value of construction is.52500 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.
SUPPL.EM.ENTAL CONSTRUCTION.:LIEN. LAW INFORMATION:
DESIGNER/ENGINEER: _ Nat Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: State: _
Zip: - Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 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, }calls, 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 IMPROYEMENTS 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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature cVOwner[ Lessee/ tzaktor as Agent for Owner
STATE OF FLORIDA ,
COUNTY OF J-r .0/1 V
The forgoing instrument was acknowledged before me
this jj_�2' day of 20_ by
Ct
Name of person making statement.
Personally Known '--�bR Produced Identification
Type of Identification
Produced
.•* ' R WLANID
7gnature c fNdo **uWkCW"5SW#dra9D6990T
'yl'y EXPIRES April 03, 2021
Commission No. Seal
Signature ofiC-6ntractor/Licer!se }wider
STATE OF FLORIDA
COUNTY OF 1 � Cr1 /,—r ✓� ri
The for wing instrument was acknowledged before me
this day of _ �-/ . 20_ by
CL�,����
Name of person making statement.
Personally Known t-�011 Produced Identification
Type of Identification
Produced
(Signature f" fru
MY COMMISSION # GG00907
Commissio EXPERES APti# 03L3l524
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
I
Rev. 2/7/19