HomeMy WebLinkAboutPermit Application for 1207 Australian AveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 3-25-2020
OW111111110"M
COUNTY
F I C& 2 1 T
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Mechancial
PROPOSED IMPROVEMENT LOCATION:
Address: 1207 Australian Ave
Property Tax ID #: 2433-801-0048-000-3
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
Like for like AC changeouts 3.5 ton 14 seer with 1 Okw and 2.5 ton 14 seer with 1 Okw
� CONSTRUCTION INFORMATION -
Additional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tank — Gas Piping — Shutters
Electric
Total Sq. Ft of Construction:
Plumbing — Sprinklers
Cost of Construction. $ 6750.00
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE :
CONTRACTOR:
Name Laine Drawdy
Name: Shyan Wpitczak
Address: 1207 Australian Ave
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FIL State:
Zip Code: 34951 Fax:
Phone No. 772-979-0465
Address� 7901 Santana Ave
City: Fort Pierce 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@gmall.com
State or County LicenseCAC 1819009
If value of construction is $2500 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.
SUPPLEM,ENTALCONSTRUCTtON LIEN tAW. INFORMATIOW.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: NotApplicable
Name: Name -
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER* Not Applicable
Name:
Address.
City:
Zip: Phone:
BONDING COMPANY -
Name:
Address:
City:
Zip- Phone:
Not Applicable
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 apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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, walis, 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 RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT1110N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY RIFFORE 111117CCIR1111ING YOUR NnTICF OF r(1MMFftrFM"M.."
Signatu re oPOwn er/ Lessee/l�(Qhtra�to r as Agent for Own eT
Signature ofE6ntractor/Lice&& Heider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF- .:LL�CA'C�' yz_o')Cr
COUNTY OF '/c r
The fGrgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Q,Sday of 2 0 -IC- by
thisQ� day of 20 _�04,y
fz_ 2LQ
6, C'.
Name of person making statement.
Name of person making statement.
PersonallyKnown OR Produced Identification
Personally Known — OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
7. R WLAND
(Signature
%f,#_tV0J..6ub&WMW. F%%WND
EXPIRES April 03,2021
MY COMMISSION # GGOSM7
IN
Commission 0.
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commission
- EXPIRES April 04_9M24
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