HomeMy WebLinkAboutBuilding Permit App for 5703 Winter Garden PkwyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-1-21
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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:
Address: 5703 Winter Garden Pkwy
Residential
PropertyTaxlD#: 1301-613-0343-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 4 ton 14 seer 10 kw heat
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
1
Additions! 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: $ 3)600.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jose G Garcia Campos Name: Shyan Wojtczak
Address: 5703 Winter Garden Parkway Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State: Address: 7901 Santana Ave
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No. 772-240-0977 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
SAM
LPW11Z2L1 LALAIU11 la at,-JUU UU More; d KMUMMUNotice OT LOmmencement is required.
If value of HAVC is $7,r m r RECORDED Notice of, � mm is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not APPlicable
Name*
Address:
city: State:
Zolpa Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: � Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City.
Zip-6 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 Association rule, 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, I do hereby agree that I will, in all respects, perform the work
ire 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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessary 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.
Lucie County and posted an the jobsite before the first inspect'lon. if you intend to obtain financing., consult
with [ender or an attornev before commencina work or recording vour Notice of Commencement.
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STATE OF FLORIDA
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STATE OF FLORIDA ..,
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Sworn to (or affirmed) and subscribed before me of
L-.--Physical Presence or Online Notarization
this �''� day of ,) t,�C, +� , 2020 by
Name ofper making's a omen .
Personally Known OR Produced Identification
Type of Identification
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(Signature of Notary Public- State of Florida }
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Sworn to (or affirmed) and subscribed before me of
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this day of 2020 by
Name of p&son making statement.
Personally Known � OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
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