HomeMy WebLinkAboutPermit App 121 Queen Bess CourtAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-18-21
C'J�O IL ��E E
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Permit Number:
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: 121 Queen Bess Court
Property Tax I D #: 1414-701-0157-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 5 ton 16 seer 10 kw heat
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
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: Sq. Ft. of first Floor:
Cost of Construction: $ 4,800.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Vincent Sabia Name: Shyan Woitczak
Address: 121 Queen Bess Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: Address: 7901 Santana Ave
Zip Code: 34949 Fax: City: Fort Pierce State: FL
Phone No. 772-465-9155 Zip Code: 34951 Fax: 772'801-5398
E-Mail: Phone No 772-634-0491
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
it
vaiue
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/ENGINEERe. _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
41-0,111
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip0
: Phone:
OWNERS CONTRACTOR AFFIDVIT.0 Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work orinstallation has commenced prior to the issuance of a permit.
St. Lurie County maces no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in +conflict with any applicably 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 v+rark
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 anther non-residential use
WARNING TO OWNER,* Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted an the Jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before comrnencina work or recording your Notice of Commencement
Signature of Owner/.I,ss�ee/Contractcr as Agent for Owner Sign'ature,,bf Contractor/Lk,'en�e-odder
STATE OF FLORIDA, STATE OF FLORIDA
COUNTY of C�
COUNTY OF � � �. �'\_. •� \_` . �_ �� i 1 � tr
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
.4
Physical Presence or Online Notarization Presence or Online Notarization
this 1 of s 'Y.�i , 2020 by this I V11day of 2020 by
Name of erson malting statement. Name of 104rson making aternent.
Personally Known Veo� EAR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification
Pr duced Pr aced
{Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida 3
RhiioON 111%opllh
Commission No..0 al �ur�,c stage �f F�mi ion Y of Florida
�� Ns�lary .� otary Pub�t��t�te �
Amanda P Sl�ma�r�+a P Sanderson
MY Cc�inmission GC7 1 i256 � #1lly Cunsm+Scion GG 211256
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REVIEWS FRONT zo I R PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATA
COMPLETED
Rev. 5/6/20