HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p ,
Date: 12/04/2018 Permit NUMerlill, 0
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Building Permit Application DEC -4 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Mechanical 0
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Address: 5765 TRAVELERS WAY.FORT PIERCE,FL 34982
Legal Description: PALM GROVE S/D BLK C LOT 27(0.16 AC)(OR 1440-1268: 1483-3000)
Property Tax ID#: 3410-503-0095-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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REPLACE HEAT PUMP 16 SEER SPLIT SYSTEM WITH 5KW HEAT.
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Additionalwork oe nertormed under tispermit—check all tm appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11Electric ElPlumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ 6,368.00 Utilities: Sewer❑Septic Building Height:
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Name Name: KEVIN M.SHARKEY
Address: Company: SHARKEY AIR LLC
City: State: Address: 7862 SW ELLIPSE WAY
Zip Code: Fax: City: STUART State:FL
Phone No.—,na-P Dq- W51. __ Zip Code: 34997 Fax: 772-220-3787
E-Mail: Phone No. 772-220-2487
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@SHARKEYAIR.COM
from the Owner listed above) State or County License: CAC1816853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: !Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 ini4 to obtain financing,consult with lender or an t qr y before
commencingwork or recordin . r otice of Commencement. /
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Si ature of Owner/Lessee/Contractor asA t for Owner nature of Contract /L ce se Ho
STATE OF FLORIDA�M STATE OF FLORIDA
COUNTYOF COUNTY OF
The forgoing instrument was acl nowledged before me The for ing instrument was ac cnowledged before me
this day of 20 IV by this day of 20 by
�:AP /lam
Name of personmaking statemed Nam of person aking state t
Personally Known OR Produced Identification Personally Known person
Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Not -State of Flori a (Signature of No Public-State of Florid )
SONJA P LEWIS SO JA
' !`- ) Commission No. N EWIS
Commission No. = . OMMIS ION#FF198729 ;Y MY COMMISSION#FF198729
'�",ti• oA'� EXPIRES March 10,2019 EXPIRES March 10,2019
i.IC'/199Pfi;D7 RMWINoro Satixw. • ` Ri ft ce car
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17