HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: AigOW (;!,� 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 •�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line MECHANICAL
A/C CHANGEOUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5848 Travelers Way
Legal Description: PALM GROVE S/D BLK D LOT 26(0.12 AC)(OR 3474-1754:3694-166)
Property Tax ID#: 3410-503-0122-000-3 Lot No. 26
Site Plan Name: Block No. D
Project Name: DOROTHY M DAVIES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL A NEW 3 TON 16 SEER GOODMAN SPLIT SYSTEM 5KW HEAT
VERTICAL IN CLOSET
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all apply:
®HVAC Gas Tank Gas Piping _Shutters F]Windows Doors
_1
1-1Electric ❑ Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction:$ 4910.00 Utilities: l_ISewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DOROTHY M DAVIES Name: KEVIN M SHARKEY
Address: 5848 TRAVELERS WAY Company: SHARKEY AIR LLC
City:_PORT ST LUCIE State:_F_I_ Address: 7862 SW ELLIPSE WAY
Zip Code: 34982 Fax: City:—STUART State: FL
Phone No. 772-468-6928 Zip Code: 34997 Fax: 772-220-3787
E-Mail: Phone No. 772-220-2487
Fill in fee simple Title Holder on next page I if different E-Mail:.. INFO&SHARKEYAIR COM
from the Owner listed above) State or County License: CAC1816853
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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 your paying twice for
improvements to your property. A Notice of Commencement must be reco ded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult ender or an_,pttgrney before
commencingework or recordin&W2r Notice of Commencement
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,SATE OF LORID �` S4ATE FLORI1JA-
COUNTY OF COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9TH day of JUNE 20 17 by this 9TH day of JUNE 20 17 by
KEVIN M SHARKEY KEVIN M SHARKEY
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(Name of person acknowledging) (Name pr
rson acknowledging)
I ture of Notary Public-State of Florida ) (Si`gria r of Notary Public-State of Florida )
Personally Known -9R-Fceducecl.! Personally Known r�
Type of Identificatior KATE M Will Type of Identificati 13 r�' 'sd my MY COMMISSION#FF982713 =
Commission No. EXPIf � sril 17 2020 Commission No. �! EXPIRES( @M197,2020
A071 0153 (407 ,153 FkxkJxN 8rV".00m
FkxklrN ®MOt.oOtn
Revised 07/15/201.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS