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HomeMy WebLinkAboutPermit App for 5713 Deer Run DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/18/21 Permit Number: CC © I 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: 5713 Der Run Dr, Fort Pierce, FL 34951 Property Tax ID #: 1407-601-0037-000-5 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: X Lot No. Block No. Like for like AC changeout 2.5 ton 14 seer 8 kw heat 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: $ $2,900.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Robert Caruso Name: Shyan Wojtczak Address: 5713 Deer Run Dr Company: Cool Air Solutions of Florida, Inc. City: Fort Pierce, FL State: _ Zip Code: 34951 Fax: Phone No. 772-360-9918 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 IT value or construcxion is LSUU or more, a KtCUKoto 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: Address: MORTGAGE COMPANY: Not Applicable Name: 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 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, 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 of Owner/ Lessee/('_6htrictor as Agent for Owner Signature of E6ntractor/Lice6se Helder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF y-C"t -1 1 I COUNTY OF T-I-yj, C, f) /Zi The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisjdayof i lv is t f 20L) I by this L5 - L��dav of 1 20 1 by C,j j tc- K Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known i__ OR Produced Identification Type of Identification Type of Identification Produced Produced HAItb�WWLAND ig_nature c 5 0&1� 4jWrCGWtM5$pd VWfp90S9907 (Signature ub%Q_JMM 'tiEXPIRES April 03, 2021 MY COMMISSION # GGOS0007 Commission No, (Seal), commissio a EXPIRES April O3(31MI1} REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.