HomeMy WebLinkAboutPermit App for 1806 W Boothe DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATI N TO BE ACCEPTED
Date: 2-3-2022
Permit Number:
400 01 !)"'1'7 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commerc al 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: 1806 W Boothe Dr, Fort Pierce, FL 34982
Property Tax ID #: 2421-704-0001-000-7
Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Repair and replace damaged flex duct in attic
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check z II that apply:
_Mechanical — Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 5,800.00 Utilities: —Sewer _ Septic Building Heiaht:
OWNER/LESSEE:CONTRACTOR:
Name Marvin & Sandy Bethune
Company:
Zip
E-Mail
State
ame: Shyan Wojtczak
Address: 1806 W Boothe Dr
Cool Air Solutions of Florida, Inc.
City: Fort Pierce, FL _
State:Address:
Zip Code: 34982 Fax:City:
Phone No. 772-468-3148
7901 Santana Ave
Fort Pierce FL
State:
Code: 34951 Fax: 772-801-5398
hone No 772-634-0491
E-Mail: mebetune@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 7snn nr mnrn n Dcr nonrn
coolairsol@gmail.com
or County License CAC# 1819009
----- c'nC CHL ID Fequlrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commen , ement 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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Pleasleeconsult with pyo'urHome Owners Association andrrevlew your deed focovenants
any estrictions which maor
aprohibit such
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
with lender or an attorney before commencing work or recording your Notice of Commencement. i
�Jractor Signature Owner/ Las Agent for Owner
STATE OF FLORIDA
COUNTY OF ``�k L -C, l I
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this IC) day of 2020 by
Name of erson makin tatement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Signature ontractor/Lice e H er
STATE OF FLORIDA
COUNTY OF � .i
Sworn to (or affirmed) and subscribed before me of
--Physical Presenc or Online Notarization
day of V_, 'U 2020 by
Name of lArson making statement.
Personally Known Y OR Produced Identification
Type of Identification
Pr uced
(Signature of Notary Public- State of Florida )
Commission No. `s 4�l) Notary public scats or F1216ffimfion N1 jVatary puR&9k1#e of Florida
Amai,da P^Sander on r Ama,rda P Sanderson
My Commission GG 11256 � ` �' My C ununission GG 211256
�,nn�4 z 1fA/l9'.171f77
9101
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