HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date:• ( _;��O•J 7 Permit Number:
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RECEIVED
� Building Permit Application MAY 10 2017
Planning and De lopment Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4612-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLIICATION FOR: Other
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Address: 8750 S Ocean Dr Unit 1735
Legal Descriptionl: Island Dunes Condominium A Unit 1735 AKA Admiral Condominium
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Property Tax ID is 3535-601-0089-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Froni Back: Right Side: Left Side:
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Like for Like AC Change out WATER SOURCE HEAT PUMP 3 Ton Bosch unit 14.70 EER 10KW
ACIclitionalworkitobe ertormed un er t is permit—c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Cc nstruction: S Ft.of First Floor:
Cost of Construction:$ 2500.00 Utilities:Sewer Septic Building Height:
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OEMRA Tole
NameAMRIK S PARLEY Name: KIM WILSON
Address:8750 S OCEAN DR UNIT 1735 Company: PREMIER PLUMBING&AIR LLC
City: JENSEN BEACH State:FL Address: 108 NE DIXIE HWY
Zip Code: 349571 Fax: City: STUART State:FL
Phone No. Zip Code: 34994 Fax: 772-692-1094
E-Mail: Phone No. 772-692-2500
Fill in fee simple Title Holder on next page(if different E-Mail: PREPLBGAC@GMAIL.COM
from the Owne listed above) State or County License: 25222
If value of constriction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address:. I _ Address:
City.,. I . State: City: State:
Zip: I Phone' Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name: i Name:
Address: I Address:
.City: I City.
Zip: I Phone: Zip: Phone:.
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I certify that no work or Installation has commenced prior to the issuance of a permit:
St Lucie.Coun makes no representation that is granting a Permit
ill authorize the ermit.holder to build the subject structure
which is in can 1ctwithany.applicable Home owners Association rules,bylaws or and covenants that may restrict or.prohibit such
structure.:Please consult.with your.Home Otvners°Assoclation and,review your deed foe any'restrictions which may apply.
In consideratio-n 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 ftendments.
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 tlUIJNER:-Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property,A Notice:of Commencement must be recorded 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 recordin our Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FCq IDA STATE OF FLORI
COUNTY OF [V A COUNTY OF ��t
The f oing ii str ment was;acknowledge before me The f going instrument was acknowledged_before me
this day.af; 20 1y this�day of 2t3 r by
(Name of Persn acknowledging)' (Name of person acknowledging)
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(Signature of Notary Public-State of Florida i (Signature of Notary Public-State of Florida)
Perso I Known X OR Produced Identification Personally Kno X _OR Produced Identification
Type ca Type of Identif' di tle+w
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MYL A QUE p s, CRy y-'A
Com COMMISGrnN,O F -ij Commission �t� a ¢
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Revised 07(15/2014 y
REVIEWSI FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
l COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE.
COMPLETE.
INITIALS