HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-24-20 Permit Number:
COD
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: 21 Lagos Del Norte
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 4 ton 14 seer package unit with 10 kw
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 _ Windows/Doors _ Pond
— Electric _ Plumbing _ Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $3,900.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Don & Judith Singer
Name: Shyan Wojtczak
Address: 21 Lagos Del Norte
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 203-521-1343
Company: Cool Air Solutions of F'Lorida, Inc.
Address: 7901 Santana Ave.
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
E-Mail: dds454@aoLcom
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail coolairsol@gmaii.com
State or County License CAC# 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 LIENLAW INFORMATION:
Dl_SIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address: _
City: State:
City: ^ State:
Zip: Phone
Zip: 'hone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Dame:
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,
i 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 INTENT} TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMIENCEMENTf
Signature Owner/ Lessee/ o' tcaktor as Agent for Owner
Signature ofe6ntractor/IJce&k Holder
STATE OF FLORIDA
COUNTY OF C r a,--- V''L !�
STATE OF FLORIDA
COUNTY OF.__.nV
The forgoing instrument was acknowledged before me
this day of 20.._ ,3by
The forgoing instrument was acknowledged before me
this 2Lft4day of cN U 20� by
{� (
CI) �L2Lq k-
j i .
2 (t 4 C'" wOL� K
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
RrCHDTrfEWLAND
ignature C fNa 9907
f '� •: EXPIRES April 03, 2i121
CommissionNo. Seal
(Signature
Commission
f u
=• ': MY COMMISSION # GG069907
EXPIRES Apra 01_cM $
REVIEWS
FRONT
3 ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
_
DATE
COMPLETED
ev. 277719