HomeMy WebLinkAboutPermit App for 419 Nettles BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-14-20 Permit Number:
'Uo LULIlL�
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 419 Nettles Blvd
Property Tax ID #: 4502-501-0605-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 2.5 ton 14 seer heat pump with 5 kw heat
New Electrical Meter Second Electrical Meter
ECO:N7STRIJCTION 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 5q. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $3,900.00 Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Dame Dames & Joanne Long
Name: 5hyan Wojtczak
Address: 419 Nettles Blvd
Company: Cool Air Solutions of Florida, Inc.
City: Jensen Beach, FL State:
Zip Code: 34957-3326 Fax:
Phone No. 248-802-6667
Address: 7901 Santana Ave
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
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@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 $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: f
DESIGNER/ENGINEER: Not
Name:
Address:
City:
zip:. --
FEE SIMPLE TITLE HOLDER:
Harms:
Address:
City:
Zip: Phone: —
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
_ Not Applicable
State:
Not Applicable i BONDING COMPANY: Nat Applicable
Name:
Address:
city.
Zip:
Phone:
OWNER/ CONTRAC rOR 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 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 pouts, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNEW 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 LEER OR AN ATTORNEY BEFORE RIECORD[NC YOUR NOTICE OF COMMENCEMENT."
Signature &Owner] Lessee/( pghtractor as Agent for Owner
Signature of CC ntractorjLicens, 'Holder
STATE OF FLORIDA , ,
COUNTY V �t.._.__,.....
STATE OF FLORIDA
OF J C1161 _
COUNTY OF —
The Forgoing instrument was acknowledged before me
The forgoing m5trument was acknowledged before me
this Ll day of 5E ,�7 1 20<- -,by
this LL day o- ..' �_ 20. -.-'by
r
C' L�- [ �L2L(i �"
�. L, `'?
I
ctid -eq!
Name of person making statement.
Name of person making statement.
Personally Known --f CAR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I
s RICH ►TIM—NEWLAND
ignature =Na py���gp��0t3g907
(Signature
f.' u
EXPlrR1:S April 03. 2021
MY COi69fa IMON N Dwe"07
Commission No. Seal
Commission
EXPIRFS ApH 0%!M24
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
I
RECEIVED
I
DATE
CC3MPLt; i'£D
ev. 1