HomeMy WebLinkAboutMECHANICAL/HVAC RESIDENTIAL- REPLACEMENT SYSTEM Nov, 6. 2017 11 ; 07AM No. 3045 P. 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/14/2017 Permit Number: 1 ' 01
Building Permit Application
Plonning and Development Services
Bullding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax'(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
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it 1MIT !
Address: 879 S Kings Highway
Legal Description: FIRST SOURCE COMMERCE PARK CONDOMINIUM(OR 2522-1715)UNIT A-107 PHASE 7(OR 3570-1414)
Property Tax ID#' 2311-800-0007-000-6 Lot No.
Site Plan Name: Dan Casey Block No.
Project Name: $79 Kings LLC
Setbacks Front Back: Right Side: Left Side:
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HVAC EQUIPMENT CHANGE OUT; MAKE-CARRIER; A/H: FB4CNP025; CIU: CA14NA024000;
5KW; 15 SEER; 2 TON
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J lona wor to ormed unaerthis permit—c eCK 811 ma appy'
HVAC Gas Tank []Gas Piping 1_1_Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 1:1U Generator Roof
Total Sq. Ft of Construction; Sq. Ft,of First Floor:
Cost of Construction:$ $3757.00 Utilities: Sewer Elseptic Building Height'
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Name 879 Kings LLC Name: DONALD O'BRYON
Address:10107 Hunt Club Lane Company: Preferred Air Conditioning&Mechanical, Inc.
City: Palm Beach Gardens State:FL Address: 1643 DONNA ROAD
Zip Code: 33418 Fax: City: WEST PALM BEACH State:FL
Phone No.561-346-52_35 Zip Code: 33409 Fax: 5614780089
E-Mail:don.casey@icioud.com Phone No. 5616891093
Fill in fee simple Title Holder on next page(if different E-Mail: TRICIAQPREFERREDACMECH.COM
from the Owner listed above) State or County License: CAG1817655
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Nov, 6. 2017 11 :07AM No. 3045 P. 3
NIU-1
W1,111,111
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 Nat 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 or and 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 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 must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cp u twit der or an attorney before
commencingwor recordin our Notice of Commencerrr6nt.
s
_Signature of Lessee/Agent Slgnature actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PA-eeAOH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 _by this 3rd day of November 20 by
Dart Casey DONALD OTRYON
(Name of per cc : edging) (Name of person no ledgi )
(Signatu of N ary Public-State of Florida) (Signaturkf Nota ublic- of ori
Personally Known OR Prod Personally Known x OR Produced Identification
Type of IdentiflcatlType of Identification Prod _.__. .._. .__..__—._...:..
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Tillyl:•�F}:'Jy
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Commission No. Commission No. FF2i11587 I;' 1 `;= kl(� iiSS,ION OR t
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS