HomeMy WebLinkAboutMECHANICAL/HVAC COMMERCIAL - INCLUDES HOODS From:Nicole McMahon Fax: To: Fax: (772)462-1578 Page 3 of 6 0612912017 11:50 AM
ALL APPLIC E iKIF `RI US T SE COMPLLTEb FbR AI PLICA3`(ON TO BE ACCEPTED l py
Permit Number: f V
Building Permit Application RECEIVED
PlanningandDevelopmentServlces JUIN 2 9 2017
SwIding and Code Regulation Vvislon
2308`Argirle Avenue,Far:Pier;e FL.34982 '
Phone:(772)462.1553 Fax_(772.)462-157 6M't�nm.rcia{ ROde itW
! PERMIT APPLICATION FOR, To Salect frarr!&bpbo c; dick icer
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Property Tax ID#; Ur�—I Lot No.
Site Plan+Vam'e: T Block No. .:-- ---_-_
Setbacks From Ser- . . WmMgide: Left Side:
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t o orx.ta. e e ormea yrt .er 1s permle_
HVAC Cas Tank DGet piping _Shut+:ers lhlindm sJDoors
ctrtc Plumbing OSprinklers. Generator �Roof
Tota.l.Sq..Ft of Construction: SQ,R az NI Flao.Y:
Cost of Construction:$ ` '. '"" litilitias.:Uew.eeD.Septic Building Height:
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Address: . ` �, ', 3 i
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Zip Code: = ar'`1` Fax: r _ . Clt~,1:
Zap Code. ' Fax
i 111Ir•feesimple ride Haider on next gage [f different. �. -iylaiE: �1"�'lt ^) n. !rril n
"from rhe ftiw iisted above) i State ar County License:
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i flue oz consfie et}eri is 52Sp0 or m�Xe, RE��3RDEC► f sf Urnmeneemefit is requir0,
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From:Nicole McMahon Fax: To: Fax: f772j 462-1578 Page 4 of 6 06129/2017 11:50 AM
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1 E 1 1 leis E t iEE : _Not Applicable ; MORTGAGE COMPANY' �Not Applicable
Name:.
Address: Address:
City: State: City: - State:
Zip., ..'------.__:._Phone: Zip:
Fi=b SIMPLE TITLE HOLDER: � Not Applicable 80NDING COMPANY: —Mot Apialicabfe
lV.arne�
iddress:
.. Address-.
City:
Zip: phone: Zip: i
I certify-that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coup :makes no representation that is granting a perErit will autharin the ptrnrilt holderta build the subject structure.
urhleh is in.con�ict wi*.i,any applicable Nome Owners Association rules, bylaws oratld covenants that may-restrict or prohibit sucl3
st,nicture.Please consult vAth your Home Owners Association and revieveyour deedd far any restrict ons which.raav apply..
in eonsideration.of the granting of this requested permt,:-I ao hereby agree that.l shill,in all respects;perform the Work
iii accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments,
Thesollowing building.permit applications are.exempt from.undergoing a full concurrency review:roam additions;
accessory structures,swimming poo?s;fcnees,walLs,signs,screen rooms anci accessory uses to another nan-residential use
WARNim TO OWNER.-Your failure to RaccM a.Notiee of Commencement may result'in your paying twice for
improvements to your property,A Notice of--.Cbmmencement must he recorded and posted onthp job site
The fore. a first inspection. If yogi �J
intend.to-obtain financing,con sU � � der--a a attorney laefore
o en t ci
r t red+rC Pll_-yQur otice of Commeneecr
S
I � hature cif owner'/Lessee/Agent. - ess ,. 5i mature of'Eantr ctor L�cealse H:slder'e 'S"g �
STATE OF LC4 i k _, COUNTY 0 2.,
STATE OF FLO = `
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COUNTY OF
The Fgr g instrurq emt.was acknowledged before � �' The forpo�ng ins runt aves acknowledged before ri s; �
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thi • 2a of,j.; 42sFcs. �0tb thi.' °` d of . `` zo !Su .
f.c 4�A u t�. C.Vi,- � �.fY��
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(Laine fpersoll.ack owled�`ing) e (lVameof.. rsoriackrlbwledging)
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ansa► .;� �.
{5'ignature of Noi tairy Publlc-5tatt of Florida# ( :griature of i tory r ublic-State of Florida)
Win i.
Pe:soria ly known Oft Produced ldentific tion Persorrally'.Known, iT 1711 arodriced Identification
Type of{dentiflcat!nri Produced_ Type of Ideritiiicatlon Produced
Commission l�o. � .` y l:l (Soap
Commission No. � �v � {Seai1, �
)� wised Cl�lla 2Q1�
__.._ :_.......- - - - _ -- -
RE`Vln%.rS. FRONT ZONING ': SUPERVISOR PLANS VEGETATI.Ohl SEA TURTLE 1 MAN.GRO1 E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COPAPLETEINITIALS
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