HomeMy WebLinkAboutBuilding Permit Application Jul 18 2017 8:04AM HP Fax page 3
LL APPLI BLE INFO MUST BE�OMPLETED FOR.APPLICATiON TO"BE ACCEPTED
Date: 7117/ 017 Permit Number:..
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Building Permit Application JULr
Planning an Development services.
Building an ode Regulation Division' PERMH1711N.2
230WO Irrgini Avenue,Fort Pierce FL 34982 8t• Lucie County, FL "
Phone:{77 }462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT"A PLICATION FOR: To Select from dropbox, click arrow at the end of line
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dress:550 Seagrape Dr,
Legal Descrip ion: Unit-08-81k 23-Lot 37 .
P perty Tax D#: 3402.609.0050-000-7 Lot No.—
Site
o.Si a Plan Na Block No.
P oject.Natn"
S tbacks F nt Back: Right Side: Left Side:
+� tinge 3 t split system like for like
G odman X140361K condenser
G odman A UF37C14A air handier 5kw heat 14 Seer
21
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na w r to a e" ecl 7undertnis permit-cneck all tmapply:
HVAC Gas Tank [:]Gas Plping _Shutters Q Windows/Doors
Electric I PlumbingSprinklers Generator Roof Roof pitch
T.tal Sq.Ft o onstruction: 1458 S , Ft,of First Ftoor:.
C st b(Const coon:$3400.Q0 Utilities:]Sewer Septic Building Height:
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N meoonna M e Name: Robert Hennis
A dress:5S09 agrape Dr. Company.Air Control AC&Refrigeration,LLC
Ci y: Fort Pler State:FL Address: 5415 Silver Oak Dr. '
Zi Code:346 2 Fax: City: Fort Pierce State:FL
P ne N0:772 08-7787 Zip Code: 34982 Fax:772-460-6613
E' ail: Phone No. 772460-2666
Fill ,in fee sir» a Title Hoid'er on next page(if different E-Mail:.eircontrolao@yahoo.com
fr:m'the Ovrn r listed above) State or County License: CAC1815015
it V aloe' of Corr" �.uctlon is$2500 or more,a RECORDED Notice of Commencement-is iequired.
Jul 18 2017 8:05AM HP. Fax page 4
DESIG ENGINEER: Not Applicable MORTGAGE COMPANY:
- T• Not Ap licable
Name• Name.
Address; Address:
City: State' City; State:
Zip: Phone' Zip: Phone'
FEE SIMI TITLE HOLDER: Not Applicable BONDING COMPANY: Not AD9,11icable
Name- Name:
Address• Address'
City: City,
Zip: Phone:. Zip: Phone:
I certify th t no work or installation has commenced prior to the issuance of a permit.
St.Lucie n makes no repntation that is granting a c3�eumit will authorize the permit;holder to build the subject ructure
which h in ict with any applicable Home Owners As�ctation rules,bylaws or and covenants that may restrict or p hibit such
structure, ase consult with your Home Owners Association and review your deed for any restrictions which may ap
In conside tion of the granting of this requested permit,i do hereby agree that i will,in all respects,perform the work
Lucie c with the approved plans,the Florida Building Codes and St. County Amendments.
Zfoil g building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory .res,svAmmina pools,fences,walls,signs,screen rooms and accessory uses to another noir-residentla use
WARNIN TO OWNER:Your falNlure to record a Nafte of Commietscetrtent may result In your paying tvfte for
lrnprove eras to your property.A Notice of Cornmencerrtent must be recorded and posted on the obsite
before t first inspection. If you intend to obtain financing,consult vjith leader or.an attorney bel re
comm PR work or recording ur Notice of Commencement-
P
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Signature 4 OwnerAessee/Contractor as Agent for Owner Signature of Contractor/license Holder
STATE 8 FLORIDA STATE OF FLORIDA
COUNTY DF—SI L.00f COUNTY OF L of i e
The forpa 'instrument was 4w*rtowledget1 before me The forgoing Instrument.was acknowledged'before ie
this„I of ✓I 2(k t 7 by this 17't'day of a7 a l X ,20 17 by
j Rini dAnIS zfi rs�
;Nameot [son acltnowledgihs I (Name of person acknowledging)
pGyvt,,ar„_ p`, "jv„y►r. Atc.i. G.. re'w�.'`^�
(Signatur Notary Public-State of Florida) (Signature of Notary Public-State of Florida.)
Personally nown
k o i rgd ;Identi#iegpw�A,GAY rp ally Known,-,_,_,;.Ikl� ed Iden
Type of td on Produced:`' N ar Pub is-State of 11'M f identification Prod- 4= trocar P id
»•=My comm.Expires Oct 1 2D18 ;, '• y r f My Comm.E Vires Qct t3,201
Comml No g o �.�;�al)Commission#FF 13 ti bine scion No. � '=w' ("Issi n#FF 133580
t3onded lrircugh National Not Assn. ",•, •`• sar*d Auoug National htctary Ass