HomeMy WebLinkAboutPermit App for 6500 Sebastian RdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-28-21 Permit Number:
1WN C1T-'Y
L O R ,� . p � ■
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
Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6500 Sebastian Rd, Fort Pierce, FL 34951
Property Tax ID #: 1301-613-0390-000-9
I
Lot No.
Site Plan Name:
Block No.
Project Name:
j
I
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 14 seer 10 kw heat
New Electrical Meter Second Electrical Meter
i
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $3,800.00 Utilities: —Sewer _Septic
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Frank & Lillian Fulknier
Name: Shyan Wojtczak
Address: 6500 Sebastian Rd
Company: Cool Air Solutions of Florida, Inc.
Address. 7901 Santana Ave
City: Fort Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No. 772-241-5089
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
f hone No 772-634-0491
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail coolairsol@gmail.com
State or County License CAC# 1819009
1
It value 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 CommenIcement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: T Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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. 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 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, 1 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 applications 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 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.
Signature bf Owner/ Less /Cvfftractor as Agent for Owner
Signature oQontractor/Lic4re_-Hialkler
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 , �-1 2020 by
this, day of 't>f2020 by
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`- �i ��.G�,.t �:L >�ai C t.
Name of erson ma� tatement.
Name of erson making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Produced
1
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. al) State of
Fermi N� IC,,
Notary Public
P Sandzr
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on c otary Pu( N?, of Florida
r° Amanda
My commission GG
11256 r Amanda P Sanderson
a My C ,nnnission GG 291256
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ev. 516120