HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIO TO BE ACCEPTED
Date: 2/20/22 Permit Number:
L o Lam ` :
Building Per
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
it Application
Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5109 DEER RUN DR, FORT PIERCE, FL 34951
Property Tax ID #: 1313-502-0021-000-8 Lot No.
Site Plan Name: Block No.
Project Name: _
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 5 ton 17 seer heat pump system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
10 kw heat
Additional work to be performed under this permit— check al 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: $ 13, 975.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVID & MARCIA BRECKENRIDGE
Address: 5109 DEER RUN DR
Name:
C
Address:
City:
Zip
PI
E-
St
Shyan Wojtczak
mpany: Cool Air Solutions of Florida, Inc.
City: FORT PIERCE, FL State: _
Zip Code: 34951 Fax:
Phone No. 504-296-3903
7901 Santana Ave
Fort Pierce State: FL
Code: 34951 Fax: 772-801-5398
one No 772-634-0491
E-Mail: davidebreckenridge@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
ail coolairsol@gmail.com
to or County License CAC# 1819009
w v, nrv,a, a nrn.vnuLu rvouce ort.om encement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commenc ment is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: T
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: , Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
vvvrvEK/ 4i,.riv i KA1_1 UK AFh1UV11 : 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 commencine work or recording our Notice of Commencement
Signatur f Owner/ Leas Co tractor as Agent for Owner
Signature_,df Contra ctor/L' e tjklcler
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 7�V i ° i
COUNTY OF „i L uC I
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or • Online Notarization
this : " C 48_ ay of C.JD 2020 by
Physical Presence or Online Notarization
this ��Iay of. F �) 2020 by
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Q ua `(i` , L 1C _C K__
Name erson malting st tk ement.
Name o erson making statement.
Personally Known
OR Produced Identification
Personally Known i'' OR Produced Identification
Type of Identification
Type of Identification
Pr duced
IZ
Pr uced
(Signature of Notary Public- State of Florida
(Signature of Notary Public- State of FloridlracC}
Commission No. GSeal}
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Notary Pubic State of
P Sander
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Amanda
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