HomeMy WebLinkAboutBuilding Permit App for 7997 S US Highway 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICA
Date: 9/29/21
Lek,_
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
)N TO BE ACCEPTED
Permit Number:
rmit Application
Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7997 S US Highway 1, Port St Lucie
Property Tax ID #: 34145011808390-9
Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Installatiion of six 50cfm exhaust fans, vented through
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
wall. Electric to be done by S&W Electric
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ $2,900,00
Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
ONTRACTOR:
Name Napolitano Florida East Coast RealtyLLC
Name: Shyan Wojtczak
Address: 154 Whitman DR
Company: Cool Air Solutions of Florida, Inc.
City: Brooklyn, NY State: _Address:
Zip Code: 12234-6729 Fax:City:
Phone No.
7901 Santana Ave
Fort Pierce State: FL
ip Code: 34951 Fax: 772-801-5398
hone No 772-634-0491
E-Mail;
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of cnnstriu•tinn i� 7snn
-Mail coolairsol@gmail.com
State or County License CAC# 1819009
---, _ •---- .,Z.
e"C"LCMVM is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commen ment is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
T Not Applicable
Address:
City:
Zip: Phone
State:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
BONDING COMPANY:
Name:
Address:
Not Applicable
Address:
City:
Zip: Phone:
City:
Zip: Phone:
AZ A
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to au trie wur rc 111U 111JI.01 a 'W
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, 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 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
.�1- 1_._J_ __ _� }, .��,,, i,r f,,,n ..,w, ,nnrina wnrlt nr rr�rnrriinra vour Notice of Commencement.
with lenuer or an ar.r.vi nc ucivl c 1 V1111 ILI
--
Signatur of Owner/ Ce see contractor as Agent for Owner
SignatureSignatureof Contractoel cans Molder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF `�i e
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
- `l Physical Presence or Online Notarization
this "; day of 12020 by
this :.J , 'day of -' b 2020 by
-( C li
Name of person makiinggss'tatement.
Name o person making statement.
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Pr duced _ _____
Pr used
a
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida )
F
Commission No. �r� l� al) Notary Public State of
trni ion N� otary P4,994e of Florida
ao r Amanda P Sander
My Commission GG
on �° Amanda P Sanderson
11256 My Cunimission GG 211256
Expires
REVIEWS FRONT ZO I R
COUNTER REVIEW REVIEW
PLANS VEGETATI
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/2U