HomeMy WebLinkAboutPermit App for 7906 Santana AveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIO TO BE ACCEPTED
Date: 2-9-22 Permit Number:
5 4E Building Pei mit Application
Planning and Development Services
Building and Code Regulation Division Commerci I Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7906 Santana Ave, Fort Pierce, FL 34951
PropertyTax ID#: 1301-604-0102-000-6 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 all 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: $ 5,000.00 Utilities. —Sewer _ Septic Building Height:
OWNER/LESSEE:
ONTRACTOR:
Name Arvine WilliamanName:
Shyan Wojtczak
Address: 7906 Santana Ave
Company: Cool Air Solutions of Florida, Inc.
City: Fort Pierce FL State: _
Zip Code: 34951 Fax:City:
Phone No. 772-882-8060
ddress: 7901 Santana Ave
Fort Pierce State: FL
Zip Code: 34951 Fax: 772-801-5398
Phone No 772-634-0491
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
-Mail coolairsol@gmail.com
State or County License CAC# 1819009
iT value oT construction is zbuu or more, a KtLUKUtu Notice of co mencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Comme cement 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
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of tractor/Licens
Signature of Dwner/ Less ctor as Agent for Owner
STATE OF FLORIDA
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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 1C�day of 202D by
this I &-�*ay of `jLI7 202&by
Name of -Orson making statement.
Name of pe son making statement.
Personally Known OR Produced Identification
Personally Known VgsOR Produced Identification
Type of Identification
Type of Identification
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(Signature of Notary Public- State of Florida )
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