HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/23/21
Permit Number:
[LUCE FE
E ED) 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: 5405 W Echo Pines Cir
Residential X
PropertyTaxlD#: 1312-500-0152-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Suess
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 4 ton 14 seer 10 kw heat
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 _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor. -
Cost of Construction: $ $4,100000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Carolyn Suess Name.- Shyan Wojtczak
Address: 5405 W Echo Pines Cir 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. 772'480-0744 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
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V431 1= V1 LoUll."PLIULLIU11 is zauu or more, aKt:LUKVtU Notice of commencement is required.
If value of HAVC is $7,r more, a RECORDED Notice of Commencement is refire.
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:
* q
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT.p 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 prier to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflic�t with any applicable Home Owners Association rues, bylaws �r 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 fallowing building permit applications are exempt from undergoing a full eoncurrency review: room additions,
accessory structures, swimming pools, fences, wall, 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 must be recorded in the public records of St.
Lucie bounty and posted on thei"obsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commen.cing work or recording Notice of Commencement.
5"'gnatureLf Owner/ Lessoe � actor as Agent for owner Signature c�� ontractor/L� �r� QJR01d6r
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF Cyi COUNTY OF � _�W- �.-�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
r� this;�� � 4 day of •�. � 2020 by this 3"c6ay of _ J �A'�� .. , . 20Z0 by
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Name of person making s atement. Name of person making statement.
PersonallyKnown V� OR Produced Identification Personally Known OR Produced Identification
Tyke of Identification Type of Identification
Pr duced Pr aced
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(Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida0%
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Commission No. .7 � al) to ��,�r�c state o� �+�mi ion N x ata wu AUe of Florida
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REVIEWS FRONT Zo PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6