HomeMy WebLinkAboutBuildilng Permit App for 8800 S Ocean Dr Apt 403All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/29/21
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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: Mechanical0
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 8800 S Ocean Dr Apt 403, Jensen Beach, FL 34957
Property Tax I D #: 3535-603-0027-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3 ton ClimateMaster Watersource heat pump
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
Total Sq. Ft of Construction:
_Sprinklers
Generator
Sq. Ft. of First Floor:
Roof
Pitch
Cost of Construction: $ 4;500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Darrell & Ellen Name: Shyan Wojtczak
Address: 8800 S Ocean Dr Apt 403 Company: Cool Air Solutions of Florida, Inc.
City: Jensen Beach, FL State: Address: 7901 Santana Ave
Zip Code: 34957 Fax: City'... Fort Pierce State: FL
Phone No. 201-962-0157 Zip Code: 34951 Fax: 772'$01-5398
E-Mail: dg79223@optimum.net 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/ ENGI NEER. _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:.
City: State: City: State:
Zip: Phone... Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 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 Associat"ion rues, 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.
Inconsideration of the granting of this requested permit, ! do hereby agree that { will, in all respects, perform the wrack
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 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 must be recorded in the public records of St.
Lucie 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,
Sign ature,:�of owner/ Lessee/cAntr'actor' as Agent for owner Signature a� Contractor{ nee older
STATE OF FLORIDA . , STATE OF FLORIDA
COUNTY OF C COUNTY OF 3.,4_
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 orOnline Notarization
this F-,�day of J1,; ' 2024 by this �,fLL-)day of (nei,.i , 2020 by
Name of.erson making sUternent. Name ofiPerson makings atement.
PersonallyKna�n � Y �R Produced Identification61 Personably Known i� OR Produced [dentificatian
Tyke of Identification Type of Identification ...... ...
Pr fro aced duced
(Signature of Notary Public- State of Florida } (Signature of Notary Public- State of Florida )
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REVIEWS FRONT Zo 1 R PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20