HomeMy WebLinkAboutBuilding Permit Application Jul. 14. 2017 11 ; 17AM No. 2365 P. 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED h
Date. 7/14/2017 Permit Number:
Building Permit Application JUL 1 3
Planning and Development Services
Building and Code Regulation Division REE,°J1 ou G
St. Lucie County,
2300 Virginia Avenue,Fort Pierre FL 34982 nter, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 3241 Pedgrine Falcon Drive Port St Lucie,FL 34952
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Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40)BLK 67 LOT 9(OR 2656-151;3800-1536)
Property Tax ID#: 3424-800-0040-000-9 Lot No.9
Site Plan Name: RUTH MCGRATH Block No. 67
Project Name: RUTH MCGRATH T
Setbacks . Front Back: Right Side: Left Side:
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HVAC EQUIPMENT CHANGE OUT; MAKE- CARRIER;A/H: FB4CNP060; C/U: CA14NA060;
10KVV; 14 SEER; 5 TON
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OHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric E]Plumbing Sprinklers 1:1 Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 5200.00 Utilities:nSewer Septic Building Height;
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Name RITH MCGRATH Name: DONALD O'BRYON
Address:3241 PERIGRINE FALCON DRIVE Company: PREFERRED AC 8r MECHANICAL, INC
City: PORT ST LUCIE State:FL Address: 1643 DONNA ROAD
Zip Code: 34952 Fax: City: WEST PALM BEACH State:FL
Phone No. Zip Code: 33409 Fax; 5614780089
E-Mail: Phone No- 5616891093
Fill in fee simple Title Holder on next page(if different E-Mail: TRICIA aQPREFERREDACMECH.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.
Jul, 14. 2017 11 : 18AM No. 2365 P. 3
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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 priorto the issuance of a permit.
St.Lucie Count 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 restrlct 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 m ecorded and posted on the jobsite
before i in5 ectlon.If you intend to obtain financing,co suit wit lend r or an attorney before
com en 'n r r recordin our Notice of Commenceme t.
S
_Sig of Owner/Lessee/Agent Sipnat ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BFACH
The for oing Inst +w acknowlecl efore me The forgoing instrument was acknowledged before me
this y o 0 by this 14.. da JU4Y by
RU M T1i oo"01N
r( a me per no I dgi g) (Ueofgo gle Un
Signat otary Public.State of Florida) (Signatu otary Public-State of Florida)
Pers ally Kno n OR Produced Identification x Personally Known x OR Produced Identification
Type of cation Produced oRtvERS ucenise Type of Identification Produced
Commission No. FF211 "*7P1, D Commission No. PF21 "rjl'••. Tfl ®4�D
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EXPIi8,?019 :r--• EXpIfiES: iu 1IY a 2019
� e an f i4 ane nm NotXy Pablio Undemaers
Revised 07/15/201
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