HomeMy WebLinkAboutPermit App 6018 Indrio Rd H-3 .pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
TO BE ACCEPTED
Date: 3/23/22
Permit Number:
LY L� 0
Building Permit
Application
Planning and Development Services
Building and Code Regulation Division commercial
Residential 4 '
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6018 INDRIO RD H-3
Property Tax ID #: 1313-501-0059-000-0
Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like Air Handler changeout 2 ton 14 with 5 kw heat
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: $ 2,400 Utilities:
—Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas E Herold (Dennis)
[Jame: Shyan Wojtczak
Address: 1 Fernwood Ln
Company: Cool Air Solutions of Florida, Inc.
City: Mays Landing, NJ State:
7901 Santana Ave
_Address:
Zip Code: 08330 Fax:
ity: Fort Pierce State: FL
Phone No. 910-363-7566
Zip Code: 34951 Fax: 772-801-5398
E-Mail:
hone No 772-634-0491
Fill in fee simple Title Holder on next page ( if different
-Mail coolairsol@gmail.com
from the Owner listed above)
State or County License CAC# 1819009
If value of construction is 2500 or more, a RECORDED Notice of Co'rnmencement
is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF
RMATION:
DESIGNER/ENGINEER: — Not Applicable
WORTGAGE COMPANY: Not Applicable
Name:
ame:
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:
ip: Phone:
V VV IYCK/ 4VIV 1 KAL I UK AH-IDVI : 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 ru es, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and rE view 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 a d 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.
Signatur ff O�e d/�ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF SI L-t-,C%
Sworn to (or affirmed) and subscribed before me of
---Physical Presence or Online Notarization
this �, relay of _ 1 YY �A('J7 �)l DQ 2020 by
Name of person makingg'statement.
Personally Known i' OR Produced Identification
Type of Identification
Pr( duced_ _
(Signature of Notary Public- State of Florida )
Commission No. _ I) Notary Puthc St
Amanda P Sal
.J
My Commission
ATE OF FLORIDA
)UNTYOF :;.51 LL.JC_l
to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
"'day of f—rr4rCJ..i (- =� 2020 by
of f(erson making statement.
nally Known Yll� OR Produced Identification
of Identification
iature of Notary Public- State of Floridac)
minion N� otary Pu(+RA to of Florida
?° Amanda P Sanderson
les
R My Gummissfon
GG 211256
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