HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-12-20 Permit Number:
o L11
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: 8005 Pacific Ave, Fort Pierce, FL 34951
Property Tax ID #: 1301-604-0124-350-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
AC Changeout like for like 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: $ $4,400.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Philip Karnes
Name: Shyan Wojtczak
Address: 8005 Pacific Ave
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State:
Address: 7901 Santana Ave
_
Zip Code: 34951 Fax:
Phone No. 561-676-1940
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
E-Mail coolairsol@gmail.com
from the Owner listed above)
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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip. Phone
Zip: Phone:
FEE SIMPLE TITLE MOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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,
accessory structures, swimming pools, fences, wails, 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."
Signature of Owner/ Lessee) of tractor as Agent -for Owner
Signature of Eo' ntractor/License Helder
STATE OF FLORIDA �n
COUNTY OF _ /��IC.-t'a n 10'±
STATE OF FLORI
COUNTY OF ��- :!` G: 7 �' i Vf
The for Ding instrument as acknowledged before me
this 1, day of 20, by
The forgoing instrypmeat was acknowledged before me
this/ day of CJ % 20by
S Gti r ci r, L ` ` Ct I L ((-
`
v,
`1 � Z �
Name of person making statement.
dame of person making statement.
Personally [mown ' OR Produced Identification
Personally Known `-�OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
;..�r. •. RICHiRRi3�dEWLAND
_-
{Signature f, $u
MY COMMISSION # 00080907
Comrnissio ' , EXPIRES April 023WIII)
�gnature f-Nv f a�li"cG5t tg$$KI pdQ&�089907
' 14 ;!t EXPIRES April 03.2021
Commission No. Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COULTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/1/19