HomeMy WebLinkAboutPermit App for 9421 Pinebark CourtAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-15-20 Permit Number:
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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: 9421 Pinebark Court, Fort Pierce, FL 34951
Property Tax I D #: 1327-801-0043-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for Like AC changeout 5 ton 14 seer with 10kw heat
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ $5,100.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank Uzzolino
Name: Shyan Wojtczak
Address: 9421 Pinebark Court
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 561-543-2980
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: —State:
Zip: phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip. Phone:
City:
Zip: Phone;_
uvvimt:K/ LuNTRAQSalo 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 ancovenants 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, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEMCEMENT MAY RESULT IN YOUR PAYING
TWIICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOVICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INspEC-flON. IF yoU INTEND TO OBTAIN FINANCMNC, CONSULT
WITH YOUR LENDER OR AN ARmEy RFFoRF RFrnpinigimr. vni to minveM n=
Signature of Owner/ Lesseel��ritra I ctor as Agent for Owner
Signature of Cbritractor/Licem''e Heider
STATE OF FLORIDA
COUNTY OF J21-t Vt��-
STATE OF FLORIDA
2
COUNTYOF 12i
The fo%w-ng instrument was acknowledged before me
this day -
'by
The forgoing instrument was acknowledged before me
of ,2-t,,
20,
this day of --- 20-,,)0by
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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
(Signature
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EXPIRES April 03, 2021
Commission No, (Seal)
i®. I.* my COMMISSION 0 GG080907
Commission
EXPmas Aprd 043W$
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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