HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-30-21
9 d
U o In,
7
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: 7508 Roberts Rd
Property Tax I D #: 1301-602-0103-000-7
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.
G
Additional work to be performed under this permit— check all that apply:
Mechanical � Gas Tank _Gas Piping � Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $3070
Sprinklers
Generator
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: � Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ocean Pointe Enterprises LLC Name: Shyan Woitczak
Address: 1986 24th Place SW Company: Cool Air Solutions of Florida, Inc.
City: Vero Beach, FL State: Address: 7901 Santana Ave
Zip Code: 32962 Fax: City: Fort Pierce State: FL
Phone No. 760-271-2368 Zip Code: 34951 Fax: 772-$01-5398
E-Mail: fl.homes@yahoo.com 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 vague
or
construetion Is
15uu 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 permit to do the work and installation as indicated
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lurie County makes no representativn 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 ruses, 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
I
n 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
cancurrency review: room
additions,
accessory structures, swimming peals, fences,
walls, signs, screen rooms
and
accessory uses to another
non-residential use
WARNING TO OWNER9: Your failure to Record a Notice of Commencement may result ire 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 your Notice of Commencement.
Signaturelof Owner/ L e�/E6ntractor as Agent for Owner Signature-,& Contra c r r, ff,
i!-
STATE OF FLORIDA
COUNTY OFF
Sworn to (or affirmed) and subscribed before me of
`-----Physical Presence or Online Notarization
this of - -� VC , 2020 by
Name af-�erson making
Personally Known
Type of Identification
r. l _ _F
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
�J Physical Presence or Online Notarization
�hi� .�.� d ay of � t..;� .�"�%� . 2020 by
ternent. Name of Orson making statement.
OR Produced Ident1fication Per5onally Known V/0
t OR Produced Identification ffi-pm�d
Type of Identification
(Signature of Notary Public- State of Florida )
r
Commission No.
t
_N%
(Signature of Notary Public- State of Florida )
Notafy public State of F ��� m if,�s i o n N 4F- otary Pu(�g@jae of Horida
manIM
� �r m Sanderson
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REVIEWS FRONT Z 0 f ��WPo�►�+'0�^�MP�'�I�OR PLANS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev576/2-0.—
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REVIEW