HomeMy WebLinkAboutPermit Application for 4180 N Hwy A1A Unit 1103BAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/24/2020
Permit Number:
J,=`
•
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) 462-1.578 Commercial X Residential
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4180 N Hwy Al Unit 1103E
Property Tax ID 4: 1423-506-0132-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 14 seer with 10kw heat
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _5hutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3,900.00
Utilities: _ Sewer _ Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mike & Iris Cohen
Name. Cool Air Solutions of Florida, Inc.
Address: 4180 N Hwy Al
Company:Cool Ir Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34949 Fax:
Phone No. 305-951-9492
Address: 7901 Santana Ave
City: Fort Pierce, FL State: FL
Zip Code: 34951 Fax:
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 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.
SUPPLEMENTAL CONSTRUCTION SEEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name.
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone _
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicab_ le
Name:
_Not
Name:
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Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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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, 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 OBTAIN FINIANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEIMIENT."
Signature aOwner/ Lessee( traitor as Agent for Owner
Signature ofC-intractor/Lice Helder
STATE OF FLORIDA
COUNTY OF _T� nd 1-C-':y'1.._...1 -i � -c Y-.-
STATE OF FLORIDA
COUNTY OF �Y'[-r - ark_ 12I V'�'
The forgoing instrument was acknowledged before me
this day of I7Ya;-C_V, ZO�CJby
The forgoing instrument was acknowledged before me
this�fl��dayof Y}?�%"t'f i .20�Lby
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#Name of person making statement.
game of person making statement.
Personally Known —� OR Produced Identification
Personally Known — OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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