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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number:
RECEIVED
Building Permit Application DEC 14 'Z018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2868 HARSON WAY, FORT PIERCE, FL 34946
Legal Description:
Property Tax ID#: Iia$" d a' 13%l_S- d a Q S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT /2.5 TON STRAIGHT COOL 16 SEER WITH 5KW HEATER. 30 AMP BREAKER
FOR AIR HANDLER/25 AMP BREAKER FOR CONDENSER.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping In Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 4200.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameILLUMINATEDPROPERTY SOLUTIONS Name: FRITZG.BRUNO
Address:2868 HARSON WAY Company: FRITZ HEATING AND AIR'CONDITIONING,.LLC.
City: FORT PIERCE State:FL Address: 8236 95TH COURT
Zip Code: 34946 Fax: City: VERO BEACH State:
Phone No.561-252-0554 Zip Code: 32967 Fax: 772-581-2717
E-Mail: Phone No. 772-538-4282
Fill in fee simple Title Holder on next page(if different E-Mail: FRITZBRUNO@FRITZHEATINGANDAIR.COM
from the Owner listed above) State or County License: CAC1819179
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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,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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement..
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The for oing inst ument was acknowledge efore me The forgoing instru ent was acknowledge efore me
this day of 20by this day of /' 20by
+�?i k2 �z, �fzU N 0 z
Name of person making statement. Name of person making statement. /
Personally Known OR Produced Identification Personally Known OR Produced Identification ✓
Type of Identifttion Type of Identifica ' n
Produced Produced L
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(Signature of Notary P.ub' - to of Florida). (Signature of Notary Public-State of Florida)
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COUNTER REVIEW REVIEW REVIEW REVIEW R EV1/
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