HomeMy WebLinkAboutBuilding Permit Application Jul, 20, 2017— 3; 53PM No. 2420 Pr 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR'APPLICATION TO BE ACCEPTED
Date: 7/20/2017 Permit Number:
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Building Permit Application JUL 91;
Planning and Development Services
Building and Code Regulation Division PERrAl17HgG
2300OrginiaAvenue,FortPierceFL34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)452-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: $628 Spanish River.Road Fort Plerce,FL 34951
Legal Description: PORTOFINO SHORES-PHASE THREE.(PB 43-40)LOT 24,3,(2446-2308)
Properly Tax ID#: 1312-503-0049-000-0 Lot No.243
Site Plan Name: Dominique Vial Block No. 67
Project Name: Dominique Vial
Setbacks Front Back: Right Side: Left Side:
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It HVAC
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HVAC EQUIPMENT CHANGE OUT; MAKE-CARRIER;A/H: FB4CNP042 CIU: CH14NB04200G;
10KW;14 SEER;3.5 TON
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Adartionalwork to e erformed.underthis permit—cheCK all appy:
HVAC Gas Tank' []Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 4473.00 Utilities: Sewer Septic Building Height:
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Name Dominique Vial Name: DONALD OBRYON
Address:5628 Spanish Rlver Road 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.772-13225691 Zip Code: 33409 pax: 5614780089
E-mail: Phone No. 5616891093
Fill in fee simple Title Holder on next page(if different E-Mail: TRICIA@PREFERREDACMECH.COM
from the Owner listed above) State or County License: CAG1817665
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required_
Jul. 20. 2017_ 3:53PM No. 2420 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 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 w h your Home Owners Association and.reviewyour deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that.I will,in ail 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 concutrency 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 inyour paying twice for
improvements to your property.A.Notice of Commencement must be recorded and posted on the jobsite
befor t inspect n. f you intend to obtain financing nsu ith lender or an attorney before
co e¢eirlg ork,pr� co in our Notice of Commence en
s
_ igL-_..,_.,T..,wne essee/Agent Signa ontractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PAMBEACH COUNTY OF P&m aeAcH
Th;Zing instrulperiwas acknowledge before me The rgoing instrument was acknowledged before me
ayof 20 JU-by,. thls` ay of luny 20 _by
(Name f er a p (Name of pets nowl
(Sign ure of NotN Public-State o orida (Signa[ Nota ublic- of florida),
Personally wn OR Produced Identification x Personally own x OR Produced Identification
Type of ldentific Produced DRIHERS009NOC Type of Identi o roduced
Commission No. Commission No. FmIll RADD
TRIG(JA'RADD = =
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t 5:July ':;.Pry ` Banded Thou tvolay Public Urttlelwntors
Revised 07/151/20 --,, 9andedThruNonryPublicUndenmte�s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS