HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/20/2019 Permit Number: l IOC-- 0'177
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Permit Application
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: MECHANICAL
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Address: 254 OCEAN BAY DR
Property Tax ID#: 3522-608-0073-000-0 Lot No.
Site Plan Name: OCEAN BAY VILLAS (OR 2627-1946)UNIT 254(OR 3575-2040) Block No.
Project Name: BERKACH
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CHANGE OUT 5 TON 14 SEER HP A/C SYSTEM W/10KW HEAT
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Additional work to be performed under this permit–check all that apply:
/lechanlcal _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: � Sq. Ft.of First Floor: Di—2
Cost of Construction:$ D. b D Utilities: Sewer Septic Building Height: 3 s\fl CS
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Name Helen Berkach Name: SHERRIED WATSON
Address:7610 MIRABELLA DR Company: PROMAG ENERGY GROUP
city: BOCA RATON, FL State: Address:3300 37TH STREET
Zip Code: 33433 Fax: City: ORLANDO State:FL
Phone No. r Zip Code: 32839 Fax:
E-Mail: Phone No407-380-5560
Fill in fee simple Title Holder on next page(if different E-Mail permits a(7promagenergygioup.com
from the Owner listed above) State or County License CMCA48033
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: _ ,,_,
Address: Address: •
City: State: City: State:
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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 1
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 JOB SITE BEFORE THE FIRST INSPECTION- IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA V STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instru, npntwas acknowledged j,efore me The fSoing instr ent was acknowledged before me
this day of IVL _ ,20 11 by this GOO day of 20(1 by
ix o lfie 'e o- Waw
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ' •roduce. :-ntificatlon
Type of I. •ntifi .tion Type of identification��
Prod r-d Produced
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nature of Notary Public- tate of'flFs (Si: ure of of_,.,_ - • •
.'c PR k- •M.TORRES
Commission No, PRISCIW4M.TORRE3(Seal Comm 1&`�i� '�s., zommigcctOH GG2073 fie• )
IIYCOMMISSIOON#GO 207359 p(PIRES:Apr1145,2022
4 EXPIRES:•,r1I 1,2022 • "sag ed, . -... , .i 5,
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE V
RECEIVED .
DATE
COMPLETED
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