HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-17-21
Io LCU.ICC����n . F. - r � uis�' �4
Permit Number:
Building Permit Application
Planning and Development Services
Budding and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Mechanical0
PROPOSED IMPROVEMENT LOCATION:
Address: 2403 Shamrock Rd. Fort Piece, FL 34982
Property Tax I D #:
Site Plan Name:
Project Name:
2421-601-0015-000-2
DETAILED DESCRIPTION OF WORK:
Like for like AG changeouf 3 ton 14 seer 10 kw heat
New electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be
performed under
this permit — cheek all
that apply:
Mechanical
� Gas Tank
-Gas Piping
_Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,700-00
Sprinklers
Generator
Residential
X
Lot No.
Block No.
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Torres Miami Soar Investments
Name: Shyan Wojtczak
Address: 6100 Pines Blvd Unit 505
Company: Cool Air Solutions of Florida, Inc.
City: Pembroke Pines, FL State: _
Address: 7901 Santana Ave
Zip Code: 330-24-7982 Fax:
Phone No.772-26�-1212
City: Fort Pierce State: FL
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
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 HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Ad dress: 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.
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 Assoc ation rules, bylaws or and covenants that may restrict or prohlb'It 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 1 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 cancurrency review: roam additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfaflure to Record a Notice of Commencement may result in paying twits for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the J*obsite before the first inspection., If youintend to obtain financing, consult
with lender or an attorney before commencing work or recording Notice of Commencement.
signatur"f Owner �/ � eLb�ontractor as Agent for Owner Signature_,& Contract br�Li6ese Holder
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF � �t COUNTY OF . - 3
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
+--- Physical Presence or online Notarization "` Physical Presence or Online Notarization
this t � "�° i�ay of (Y-A6 2020 by this "t 7-1-1t�day of L�i�lQL 2020 by
ir
'Cobi
Name of erson make g statement.
Name of person making stat�errrent.
PersonallyKnown � OR Produced Identification Personally Known OR Produced identification
Type of Identification Type of Identification
Pr dined Pro used
(Signature of Notary Public- Stake of Florida (Signature of Notary Public- State of Florida }
Commission No. (�ga! �,���c state o� � . .ionI� I�
g � � Naiaiyota�r PuC��'��te of Florida
a f �rm3►.j�3 �' Sat1deP p�Cl'li N �o � r 1�lir�a�da P Sanderson
MY car+�missian GG � 1256 � � my c�n�mission GG 211256
x xplr-eS
AL
REVIEWS FRONT Zo 1 OR PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20