HomeMy WebLinkAboutPermit App for 7901 Belmont AveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-23-21
IM
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: 7801 BelmontAve
PropertyTaxlD#: 1301-604-0120-010-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for dike AC changeout 3 ton 14 seer 10 kw heat
Residential X
Lot No.
r
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank �� � Gas Pi'ping _Shutters Windows/Doors- Pon-d---
E I ectri C _ Plumbing _sprinklers _Generator Roof Bitch, ,.
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 31600 Utilities: I Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michelle & Jason Muise Name: Shyan Wojtczak
Address: 7901 Belmont Ave Company,.,- Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: Address: 7901 Santana Ave
Zip Code: Fax: City: Fort Pierce State: FL
Phone No. (772) 203-9756 Zip Code: 34951 Fax: 772-$01-5398
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:
Ad
cifNW. State:
ZiPX Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address.
city: State;
Zip:
BONDING COMPANY: _Not Applicable
Name: Name:
Add re s : Address:
city*
Z*Ipd Phone:
city:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVITb. Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work ar instaflation 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 anyapplicable Home Owners Association ruses, 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 agnroved Mans, the Florida Building Codes and St. Lucie Countv Amendments.
The following building permit applications are
exempt from undergoing a full
concurrency review: room
additians,
accessory structures, swimming pools, fences,
wails, signs, screen roams and
accessory uses to another
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 mush be recorded in the public records of St,
Lurie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing,work or recording Notice of Commencement.
SignaturP1w n erJ LessE(e.ttaftor as Agent for Owner Signature Contractor/L"i�f Folder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � �-����- cou��r o� Luct C�
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 day of , 2020 by this day of TYlGQ 2020 by
C,
Name o person making s atement. Name ofperson making sta emend.
000�
Personafly Known Ve OR Produced Identification Per5onally Known OR Produced Identification
Type of 1dentification Type of Identification
Pr duced Pr uced
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida �
Commission No. � � alp�b��c State of F�rpi `14�1 N Y �Florida
�� Ndtary c�tary Pub�s���te of Ffo G
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REVIEWS FRONT Zo I R PLANS VEGETATI ,.
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COUNTER REVIEW REVIEW REVIEW REVIEW REV] EW REVIEW
DATE
RECEIVED
DATE
COMPLETED