HomeMy WebLinkAboutBuilding Permit Application n a, n. n.___ i r_ n r_ c .n .nr_ n 171712206—Al r- I f, i. I.:_- .
To: Permit Division St Lucle-County Building Paye 2 of V Ml 8-W-05 14.YZ'i.Yc (GM 1 63 fYV From: Holly:Kulinski
ALL APPLICAKFiNFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 6-5,18 Permit Number:
Building Permit Application
Planning and Development Services
Building anal.Code Regulation Division
I 2300 Virginia-Avenue,Fort.Pierce FL.349582 --
Phone:(772.)462-1553 Fax:(.772)14.62-1578 CotY1i11t*1'C1al ROSide'ntlSl
PERMIT APPLICATION FOR: Mechanical _ -
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t Cit11"',.P �lfNT�.tr�A.rAI . S J •` S ;:C+ tiF^ y.{..,;_?•Y:',: -:•`::•
Address: 1491 NW Sweetbay Cir
Legal Description! Harboilr Ridge Plat9-West:Hammock Viliage Unit 2
Property'Tax.lA �4426-804-0035-000-2 lot N.o,
Site Plan_Name: Block No.
Project Name: -
'Setbacks Front Back: Right Side: Left Side:
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HVAC change out like for like 2 HVAC.systems.('l)5-ton and{J)24on 16•SEER Ruud
5-ton Model RA1660AJ1NA'and Model RHIT6024ST-AN 10kw+ Heat
Zion Mode l':RA.1624AJ1NA'and,Model RH1T2417STAN. 5kw heat
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�ddlilonal wa.r o e pe Orme un e:d r this permit c:ec all appy.
Z.HVAC 0'''��Gas Tank 0G.as.Piping E—IShutters Windows/Doors
aElectrlc: L 1.Plumbing- E]Sprinklers Ej Generator �Roof. Roof pitch
Total Sq.Ft of Construction:. Sq. Ft.of'.First Floor:
Cost of Construction:$ 7200.00 1ltilities: -Sewer E1'5eptic Build."t.ng Height:
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Name Ellen Thompson Name:Thomas Kulinski
1689 NW Siareettiay Cir Apex Air Conditioning and Heating of the Treasure.Gorst
'Address, Cpmpany;
City: Palm City State.: FL Address: 161 SE,Serenata'Ct
Zip Code: 34990 Fax: City,.Part.St Lucie State:. FL
Phone No.. Zip Code: 3498.3 Fax. 772206-3146
E-P11?il Phone No. 772-577=8960
Fill in fee simple Title Holder on next-page(•if different E=Mail:_apexacandheaiofthetcggmait.com
from the Ow n- r listed above) State or County License: CAC.025432
Ovalue 6f eanstruci:'ion 19:5.2500 or more,a RECORDED Notice of-Commencement-4s.required:
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To: Permit Division St(,.ucie County Building Page 3 of 6 2018-06-05 14:40:46(GMT) 17722063146 From: Holly Kulinski
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113E tGNERJENisiNlrEit. x Not Appitcabfe 'MOR COMPANY: Not,Appiicable
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Name
Adt•�r�'S5: Addrr�SS;
r City. �.�Stt ... city:' .,. .. .. .. t�`...
l Phone � Zip- Phone-
FEE-SIMPLE,E i' i l#t�l.DEffti Nal:Applicable �'.��'lNDING CdJ119'IPANY i�at Applicabie
I itlaiww mprne:
Address;
City:. City:
Zip: Phone:. Zip: .� .Phone;•
OWNER/CONTRACTOR AEFIDVIT:Application is hereby made'to obtain a permftto do->thgvj rkC.a[nd iristaifatloti.as:indicated,
l certify that no work.or instaliatisiri has cetralxrren d ltrsc3r tcs the issuance of a:g}erirtit.
St: ucie Cour,�makesno.representatich'that.Is granting;a permit will.authorfze,the.perrnit holde tei build ttie-sabjectstilucture '
which is in confiict.with:any applicable tome Owners Associzalon Mies,bylaws s or ani covenants t at may restritt:'or prohibit such
4 TtAA t4fe,Pjose ronsult ur�tl�y.pur Norrie OWne ..Association and review your.heed for any'restrict1ons whj(:h ixaay.applY-
lr:consideration of`the granting of this requested permit.I do.herebyagreethat l.�will,
'in respects,perform the w rk
it)accordance a witirthe.apps•oved plans,the Florida Building cos es and St.•Lusi Kounty Amendments.
Yiie following buliding permit applications are e.xemP>from undergoing a full,cohcuerenty reuaew;room additions,
accessory pools,fences,wails,signs,screen rooms and.accessory.uses to anntbernon-resltte0 al use.
I WARNING TO OWNER:.Your failure to"record a Iticili;e cif Commenoeva*ent may:result to your paying twice for
improveme,ots to your property.,A Notice of Commertcempot must be recorded.and.poster!on.the jobsiee'
efore'the first fnsiecriorr'.if you intrtd fg ub#ain.far�ancirtg;ctzsul witi�lender' s an attorney Eeft�re
cammenan wor or recording vour Notice of Commehicement,,
Signature o-dm_t6eyrf lRe E'eXf6k66))ri�,lent for`C7.10ner �� Si�;R i7tQ�f�CIFi#i�[tflr�(l t�Y'Ti3tE I�OIdG'r
STATE
STATE OF F1
COUN`Y O «. " Ff
C The fo oln •iiistr mein was ackoowled before me. The fpt ping Instrument was acknowled' a before-me
tlil5. _ :i yyf.; Z0 by' tltis-__-..it&y of j � r. 20 by ��'`-
? , NtaP r-on making,statement Nane.of perrspn making,�temepf
a sas�aiiy KnovrtQA Produredidentifieation Personally Known 7a. L)it Produced Identification
pe of Id ifi` ion,
Type of ldentai' flan
duced l'r6diced__�11 �'r_ _
' nature of N. ry.Public State of Florida) {Signature of Nota . Public••.State of.riorida j
mission No. � __t , oolj cornmisson:No. .1- t�j -(deal) �.
REVIEWS FRQNT ZONING SOPEfiVISOR PLANS � VEGETATION I S TUi3T(I* MAN,$ROVE
COUNTER REVIEW REVIEW REVIEW 'i REVIEW REVIEW REVIEW
UA7E' .
RECEIVED
DATE -
COMPLETED i.
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