HomeMy WebLinkAboutPermit App for 4160 N Hwy A1A Unit 207AAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-25-20 Permit Number:
° ` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4160 N Highway A1A Unit 207A
Property Tax ID #: 1423-506-0007-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 5 ton 14 seer with 10kw
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: - $4,900.00
_ Generator
Sq. Ft. of First Floor:
i Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Patrick & Marjorie McMahon
Name: Shyan Wojtczak
Address: 4160 N Hwy AllA Unit 207A
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34949 Fax:
Phone No. 203-994-9069
Address: 7901 Santana Ave
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No 772-634-041
E -Mail: pmcmahon@us.ibm.com
Fill in fee simple Title Molder 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 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,540 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not 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 Counter makes no representation that is granting a permit will authorize thepermit 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, l 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature raf)Owner/ Lessee/abhtcaktor as Agent for Owner
Signature of'eontractor/Licer+se der
STATE OF FLORIDA
STATE OF FLORI D j
COUNTY OF / i�iGL_ C�- ! V✓` _ _ ___
COUNTY OF
The for ing instru ent was acknowledged before me
The foroing instrument was acknowledged before me
this day of ( 20 v-) by
this,2day of 20 -;2L1iy
LAJY
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
Ggnature t -No
{Signature
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" EXPIRES April 03, 2021
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Commission No. Seal
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EXPIRES Apra 03�1MI!4
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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