HomeMy WebLinkAboutPermit App for 8203 Fort Pierce BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-15-20 Permit Number:
S . Lu iE
CQ d �NT�Y
F L O-R 1_D
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8203 Fort Pierce Blvd, Fort Pierce, FL 34951
Property Tax I D #: 1301-608-0119-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Renewing expired permit that was pulled by contractor that is out of business
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 Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Residential x
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Farthing
Name: Shyan Wojtczak
Address: 8203 Fort Pierce Blvd
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: —
Zip Code: 34951 Fax:
Phone No. 419-283-2352
Address: 7901 Santana Ave
City: Fort Pierce FL
State:
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)
If value of construction is 71;nn nr morn o DrrnDnur% h1_a:__
E-Mail coolairsol@gmail.com
State or County License CAC# 1819009
--- --- •- ..,. .,...,......c.wcnlcnt "'le quireu.
'requireu.
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:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
.1
which is in conr ict 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, 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."
Signature a0wnerl Lesseel�b_ntxictor as Agent for Owner
Signature of C-6ritractor/Licerise Holder
STATE OF FLORIDA I
COUNTY OF J:-'13-1 I k4 ve"',
STATE OF FLORIDA
COUNTY OF C.--) 121
The foToing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of '20 Cjby
this day of 20_2(_�y
<
S ,,I ci C
2
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
-A �jt,� —MWLAND
(SignatureN UbIR&CMAR MW4AND
ignature c
EXPIRES April 03, 2021
MY COMMISSION # GGOSOW7
Commission No. (Seal)
Commissiorl EXPIRES ApA 04_`§3$
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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