HomeMy WebLinkAboutBuilding Permit App for 4608 Sunrise BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIO1 TO BE ACCEPTED
Date: 11-1-21 Permit Number:
�Iro
V IL 4w° p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 4608 Sunrise Blvd
Property Tax ID #: 3404-501-0172-500-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3 ton heat pump package unit 14 seer 8 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: $ $4,800.00 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
ONTRACTOR:
Name LeeAnn Suit
Dame:
Company:
City:
Z
P
E
S
Shyan Wojtczak
Address: 4608 Sunrise Blvd
Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL 34981 State: _Address:
Zip Code: 34981 Fax:
Phone No. 772-519-4322
7901 Santana Ave
Fort Pierce State: FL
p Code: 34951 Fax: 772-801-5398
one No 772-634-0491
E-Mail: Ijs645@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Mail coolairsol@gmail.com
ate or County License CAC# 1819009
11 Vd1UC V1 cunauucLiun is cauu or more, a rcrcvnutu Notice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INOORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
_ Not App
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mai
I certify that no work or installation has commenced prior to the iss
St. Lucie County makes no representation that is granting a permit
which is in conflict with any applicable Home Owners Association rt
structure. Please consult with your Home Owners Association and r
In consideration of the granting of this requested permit, I do herek
in accordance with the approved plans, the Florida Building Codes z
The following building permit applications are exempt from underg,
accessory structures, swimming pools, fences, walls, signs, screen rc
WARNING TO OWNER: Your failure to Record a Notice of l
improvements to your property. A Notice of Comme
Lucie County and posted on the jobsite before the fir
with lender or an attorney before commencing work
Signatur f Owner/ L s - / ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ►e
Sworn to (or affirmed) and subscribed before me of
t-- Physical Presence or Online Notarization
this I ' day of 00V 2020 by
Name of -}person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
MORTGAGE COMPANY: Not Applicable
Name: T
Address:
ty: State:
P Phone:
DING COMPANY: Not Applicable
lame:_
,ddress:
ity:_
ip:
Phone:
to obtain a permit to do the work and installation as indicated.
ince of a permit.
II authorize the permit holder to build the subject structure
!s, bylaws or and covenants that may restrict or prohibit such
,iew your deed for any restrictions which may apply.
f agree that I will, in all respects, perform the work
id St. Lucie County Amendments.
ing a full concurrency review: room additions,
oms and accessory uses to another non-residential use
)mmencement may result in paying twice for
icement must be recorded in the public records of St.
t inspection. if you intend to obtain financing, consult
)r recording your Notice of Commencement.
ature-of Contractorill)i`c4rts� Holder
ATE OF FLORIDA
)uNTYOF_ A- Luc l(2
worn_ to (or affirmed) and subscribed before me of
'�'rPhysical Presence or Online Notarization
pis I � day of non/ 2020 by
ame of person making st'Jfement.
sonally Known OR Produced Identification
e of Identification
of Notary Public- State of Florida )
Commission No. /ti/v'vw'
al) Notary Public State of F mi ion N /�
Amanda P Sander on t° ^ otary Pu(> R§Q. of F1.nd.
M - My Cornmission GG 1 1256 Amanda P Sanderson
R My Cr,nunission GG 211256
era o xprres
REVIEWS FRONT ZO I R PLANS VEGETATI
DATE COUNTER REVIEW REVIEW R VIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev.