HomeMy WebLinkAboutBuilding Permit Application Apr, 3, 2017 3:09PM Barker Air Condition 7725625340 No- 9880 P. 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: REM, .0 �� ��17
Permit Number:
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Building Permit 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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �a,C
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Address: 5310 Suson Lane,Fort Pierce Florida 34951
Legal Description: 5310 Suson Lane, Fort Pierce Florida 34951
Property Tax ID#: 1312-500-0171-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
rSetbacks Front Back; Right Side: Left Side:
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HVAC Change Out
4TTR6042 - 3.5ton-15 Seer-42000 BTU
TEM4AOC42-3.5ton - I OKW Heat
A00itionalwor to e_163—eff ormed uncler this permit c ec a appy:
R(HVAC Gas Tank DGas Piping _Shutters ❑windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ Sd 1d.�d Utilities: Sewer Septic Building Height:
Name Ramon and Helena Grapsy Name: Mark MatakaaGs
Address:5310 Susan Lane Company: Barker AC
City: Fort Pierce State:FL Address: 1936 Commerce Avenue
Zip Code: 34951 Fax: City: Vero beach State-,FL
Phone No, zip Code: 32960 Fax: 772-562-5340
E-Mail: Phone No. 772-562-2103
Fill in fee simple Title Holder on next page[if different E-Mail: ericabarkerac@gmail.com
from the Owner listed above) State or County License: CAC057252
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required-
Apr. 3. 2017 3:09PM Barker Air Condition 7725625340 No. 9880 P. 2
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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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counter makes no representation that is granting a permit will authorize thepermit 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:Yourailure to Record a Notice of Commencement may result in your paying twice for
improvements to your prope .A Notice of Commencement must be record d and posted o the jobsite
before the irs s ction. if u intend to obtain financing, consu w1 er or an attor before
comme r recordi aur Notice of Commencement.
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Sigo ure of 0 ner/Lessee/Cont cto as Agent for Owner Signal re of Can actor/Licens ldef `.
STATE OF FLORIDA STATE OF FLORIDA'
COUNTY OE O,.LrLI RtVey- COUNTY OF A�_an t V e r
Thefor oing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this3 day of 20!"T by this?L day of 20 L-L_by
` YIC� �rYlCt. rt-.9_Q_ o �- aA+GO
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
Personally Known�_OR Produced Identification Personally Known 1/ OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. BAR8NAaJPN MURRAY Commission N J`BARBARA AiiIgLMJARAY
s�. Notary public-State of Florida Notary Public-State of Florid; 1
•: Commisafoo#FF 231535 =•i ' Commlallon*FF 231535
��; My Comm. ><p res ug y omm.E:plre6 Aug 18.20 y
Revised 07/15/ 014" "`"' Bonded iprougn NdtlOnal Notary Assn , .1'1V" @oridedtfuauph fteti0rl81!!l;'a <
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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