HomeMy WebLinkAboutPermt App for 3100 N Hwy A1A Unit 301.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICA'
Date: 3/28/22
All
� 17 �6- -
N TO BE ACCEPTED
Permit Number:
Building P4rmit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial r Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N Highway A1A Unit 301
Property Tax ID #. 1425-606-0001-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout 3.5 ton 16 seer Watersource Heat Pump
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check 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: $ 5,000.00 Utilities _Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAlghidak Salama c/o Jennifer Idell
ame: Shyan Wojtczak
Address: 856 Twin Oaks Ln
ompany: Cool Air Solutions of Florida, Inc.
City: Winter Haven, FL State: _Address:
Zip Code: 33880 Fax:
Phone No. 561-541-6500
7901 Santana Ave
Fort Pierce
ity: State: FL
Zip Code: 34951 Fax: 772-801-5398
hone 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
tate or County License CAC# 1819009
- --- --- •- ......��"Ma LcMCM 15 requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commen ement is required.
SUPPLEMENTAL CONSTRUCTION LIEN IE VW IN
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
RMATION:
IORTGAGE COMPANY: _ Not Applicable
ame:
ddress:
Ly' State:
P: Phone:
ONDING COMPANY: Not Applicable
ame:
ddress:
P Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby ma a to�ofa
a permit to do the work and installation as indicated.
I certify that noywork or installation has commenced prior to the iss antermit.
which is noconflict with any applicablelon Homeat is Owners Association nlr�
structure. Please consult with your Home Owners Association and r
In consideration of the granting of this requested permit, I do hereL
in accordance with the approved plans, the Florida Building Codes a
The following building permit applications are exempt from undergc
accessory structures, swimming pools, fences, walls, signs, screen rc
WARNING TO OWNER: Your failure to Record a Notice of (
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
Signature of Owner/ Lesseg o— nt wf[ci
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this
5`{ 3day of ! 1C cc"`l4 3(�_2020 by
Name of person making statement.
Personally Known 1� OR Produced Identification
Type of Identification
Pr duced
(Signature of Notary Public- State of Florida j
Commission No. %, c31 I ) Nola'w `
,,mlj Notary Public St,
Amanda P Sal
a My commission
ill authorize the permit holder to build the subject structure
as, bylaws or and covenants that may restrict or prohibit such
view your deed for any restrictions which may apply.
agree that I will, in all respects, perform the work
d St. Lucie County Amendments.
ng a full concurrency review: room additions,
ims and accessory uses to another non-residential use
immencement may result in paying twice for
cement must be recorded in the public records of St.
t inspection. If you intend to obtain financing, consult
it recording your Notice of Commencement.
ure
TE OF FLORIDA
1NTY OF ( ,1:ci Q'
•n to (or affirmed) and subscribed before me of
Physical Presence or Online. Notarization
2L cday of I I (-A-e �':C1 'D, 2020 by
of person making statement.
finally Known V OR Produced Identification
of Identification
of Notary Public- State of Florida )
REVIEWS FRONT ZOt I R PANS VEGETATI
COUNTER REVIEW REVIEW RE VI
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rotary Pul 616e of Florida
Amanda P Sanderson
;e My Commission GG 2] 7256
REVIEW REVIEW