HomeMy WebLinkAboutBuilding Permit Application Jun. 20. 2017 8: 56AM No. 2207 P. 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 20,2017 1 j
Permit Number:
Building Permit Application �� ` Q � �`
Planning and Development services
Building and Code Regulation Division PFPPri7- i;,,,G
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 9440 Meadowood Drive#103 Fort Pierce, Florida 34951-2953
Legal Description: QUAIL RUN VILLAGE BLDG 2 UNIT 103(OR 3900-2075)
Property Tax]D#: 1327-703-0015000-3 Lot No.
Site Plan Name: Michael Whiteside Block No.
Project Name: Michael Whiteside
Setbacks Front Back: Right Side: Left Side:
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HVAC Equipment Change Out; Make - Carrier;A/H Model: FX4DNF049L00; C/U Model:
CA16NA04200G; Seer- 16; KW- 10; 3.5 ton
owl•:a. lona wor to a orme under this perms —c ec d app y:
V✓ HVAC Gas Tank Gas Pi _ Windows/Doors
— I�nPiping Shutters �
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: 5Ft.of First Floor:
Cost of Construction:$ 4559.00 Utilities: Sewer ESeptic Building Height:
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Name Michael Whiteside Name: Donald O'Bryon
Address:9440 Meadowood Drive#103 Company: Preferred AC&Mechanical, Inc.
City: Fort Pierce State:FL Address: 1643 Donna Road
Zip Code: 34951 Fax: City: West Palm Beach State:FL
Phone No.304-389-6177 Zip Code: 33409 Fax: 561-478-0089
E-Mail: Phone No. 561-689-1093
Fill in fee simple Title Holder on next page(if different E-Mail: tricia@preforredar.mach.com
from the Owner listed above) State or County License: CAC1817665
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun, 20. 2017 9:02AM No, 2207 P. 3/4
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DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: state: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home owners Association rules,bylaws orand 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 5t.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 CommenceKenttbe recorded and posted on the jobsite
befor e t inspection. If you intend to obtain financiwith le er or an attorney before
com a ork r cordin our Notice of Commenc
s
_signature o Owner/Lessee/Agent 5i a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P-mawch COUNTY OF Palm6aaah
The forgoing Instrument was acknowledged before me Tfor ing instrument was acknowledged before me
this 20 by t Is 20� o une 20 _by
13604-&A t D Bryn
am rso ack d ng} a e n ed ' )
(Signet r� f a e of Florida) (5iA�ynhwn
otary Public-State of Florida)
Pe ally� own x OR Produced Identification Persx OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. '^" (,Seal iAiCIA4iADD o Ission NoTra1l. y'^syr, Sea�1ICIAMD
'- > Y CO1v1cAISSION FF 2195 7C �y COA-4MISSION 4 FF 211587
EXPIRES:July 18;201 sem. - EXPIRES:July 18,2019
sanaia i in 1--
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
CO M P LETE
INITIALS