HomeMy WebLinkAboutPermit App for 7001 Lakeland BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-8-20 Permit Number:
9411 #2"D" 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: 7001 Lakeland Blvd, Fort Pierce, FL 34951
X
Property Tax ID #: 1301-612-0129-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 2.5 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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Marcus Dixon
Name: Shyan Wojtczak
Address: 7001 Lakeland Blvd
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 772-202-8115
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
11 value yr construuion is zouu or more, a KtLUKutu 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:
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: _ Phone:
j0_ND1NG COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to oothe worse ano
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 wilt 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARlYING 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 FINANCINC, CONSULT
ncicnnc ncrnaniour. vni to NnTICF OF COMMENCEMENT."
Rev. 21113.!)
Signature 4af'O;wn–e–rl–Leisee/C,�_ntdctor as Agent far Owner
Signature of c-6ritractor/Licerise Holder
STATE OF FLORIDA
STATE OF FLORIDA I -
COOF :11:rC-) lf LZ
UNTY
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 6 L� 202C_Vv
day of
this'
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,
WLAND
t� ignature
(Signature f,Pig
EXpIRE$ April 03. 2021
my ComMISSION # GGOSM7
Commission Seal
Commis o EXPIRES AptH 01-OM4
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
ATE
DATE
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COMPLETED
OMPLETED
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Rev. 21113.!)