HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-22-2020 Permit Number:
0
LF Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 'Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5 San Luis Obispo
Property Tax ID #: 1301-111-0001-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changout 4 ton 14 seer package unit with 10kw heat
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _ Gas Tank — Gas Piping — Shutters
T Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3,300.00
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NameLuAnne Hastings
Name: Shyan Wojtczak
Address. 5 San Luis Obispo
Company: Cool Air Solutions of Florida, Inc.
City: Fort Fierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 772-539-2822
Address: 7901 Santana Ave
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 770-801-5398
phone No772-634-0491
E-Mail:luanneha@gmail.com
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
It value of construction is Z500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ ENGINEER: — Nat Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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, 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
WffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Kev. / //E
Signature 00wnerj Lesseej txaktor as Agent for Owner
Signature ofP_6ntractorjLicerUK Hiljder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF J:--vrrl i no
COUNTY OF C, 9, V
The forffoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this r: day of in a 20_ by
this"�dayof f�"7rs°«. 2Q_-___ by
Name of person making statement.
Name of person making statement.
Personally Known -�f OR Produced identification
Personally Known OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
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