HomeMy WebLinkAboutBuilding Permit App for 8007 Georges RdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 5/24/21
U L
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: Mechanical1
PROPOSED IMPROVEMENT LOCATION:
Address: 8007 Georges Rd
Property Tax I D #: 1301-604-0036-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 14 seer 10 kw heat
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential
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:$ 49000.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Lakram Roshini Name: Shyan Wojtczak
Address: 5235 NW Jake Ct Company: Cool Air Solutions of Florida, Inc.
City: Port St Lucie, FL State: Address: 7901 Santana Ave
Zip Code: 34986 Fax: City: Fort Pierce State: FL
Phone No. Zip Code,- 34951 Fax: 772-$01-5398
F-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:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT. Application is hereby made to obtain a permitto do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
Si. 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
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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 word
P
n accordance with the approved plans, the Florida Building Codes and St. Lurie County Amendments.
The following building permit applications are exempt from undergoing a dull concurrency review: roam additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
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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.
Lucie Jaunty and posted on the jobsite before the first inspection,, If you intend to obtain financing, consult
with lender or an attvrnev before commencing work or recording vour Notice of Commencement.
Signatur f Owner/ Lb it4_/�bntractor as Agent for owner Signature of antractorjLic`�eM alder
STATE OF FLORIDA STATE OF FLORIDA ._ .
COUNTY OF�5��� L_Ls�''_��' COUNTY OF�.� I. (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 l)YA\j c)U4 k , 20 20 b y this ay of 4y-)Ci� 1 , 2020 by
Name of erson making statement. Name of person making statement.
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Personally known v OR Produced Identification Personally Known V/O* OR Produced Identification
Type of Identification Type of Identification
Pr duced Pr ueed
(Signature of Notary Public- State of Florida (Signature of notary Public- State of Florida j
Commission No., � � al tic State of �tlAml� N4 � r�ot�ryY otary Pu�9§4e of Floriaa
Arnanda P Sander oc3r1 ka � Ama�da P Sa�d�;rsdn
My commission GG 11256 � sty CL,«un;ssion GG 211256
a � xpIres
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REVIEWS FRONT ZOL-0
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED