HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/25/2020 Permit Number:
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a Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechancial
PROPOSED IMPROVEMENT LOCATION:.
Address: 8805 Lakeland Blvd
Property Tax ID #: 1301-609-0045-000-3
Site Plan Name:
Project Name:.
DETAILED DESCRIPTION OF WORK:
Like for Like AC changeout 3.5 ton 14seer 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
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ $3,400
Generator
Sq. Ft. of First Floor:
Lot No,
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Philip Wharton
Name: Shyan Wojtczak
Address: 8805 Lakeland Blvd
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State:
Zip Code: 34951 Fax:
Phone No. 772-626-6591
Address: 7901 Santana Ave
City: Fort Pierce, State: FL
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
E -Mail: philipwharton1969@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail coolairol@agmail.com
State or County License GAG# 1819009
If value of construction is 2500 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: _ Not Applicable
Name:..__
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone_
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 snakes 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 Gleed 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, perforin 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 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT!'
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signature sof Owner/ Lessee/Corn' tractor as Agent for Owner
Signature of�C-nntractor/Licer der
STATE OF FLORIDA .
COUNTY
STATE OF FLORIDAI
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COUNTY OF -7iT3r
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
thfs2!�'day of _7 �-Jr-C-- 20,20 -'By
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Name of person making statement.
Name 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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(Signature Q,#w u
`No
EXPIRES April 03, 2021
Commission No.""' Seal
=` t MY COMMISSION # 0009007
Commission
EXPIRES ApM 04_1�go
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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