HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/17/21
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: Mechanical2
� PROPOSED IMPROVEMENT LOCATION:
Address: 4160 N Hwy Al A Unit 704A
Property Tax I D #: 1423-506-0039-000-7
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 X
Lot No.
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
Total Sq. Ft of Construction:
Cost of Construction: $ 41900.00
Sprinklers
Generator
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cindy Hazen
Name: Shyan Wojtczak
Address:4160 N Hwy Al A, Unit 704A
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL State:
Address: 7901 Santana Ave
Zip Code: 34949 Fax:
Phone Nob 772-409-4156
city:. Fort Pierce State: FL
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)
1
State or County License CAC# 1819009
1 1
If
value
of
construction is
2500 or more, a RECORDED Notice of Commencement is required.
If
value
of
HAVC is $71,500
or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: No 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 permit to do the work and installation as indicated.
i certify that no work or installation has commenced prior to the issuance of a hermit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in canflic# with anyapplicable Home Owners Association rules, 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 approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appiica#ions are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consul
with lender or an attvrnev before eommenciniz work or recording vour Notice of Commencement.
Signature of owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
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 _ , 2020 by
Name of person making statement. Dame of person making statement,
Personally Known �/000�'
OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification
Pr duced Pr aced
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� DATE
RECEIVED
DATE
COMPLETED
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