HomeMy WebLinkAboutBuilding Permit Application Date,� - cr �L, Perrriit Number [ 1' C� _yg5
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Bui ding Permit=AppaiC tion '
- Planning andDevelo'pmentServrces. -. "; .-
Burldn anifCode Re ulatlon Drvrsion , _:trOt111i9et'Cta� Resldentlal',)C)OC g g X)UWC.
2300,Virgrnrp-Avenue,ForitPierceFL,34982 `
Phase (- 72)462 1553^Fax (772�462=1578
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PERMIT APPLICATION FOR•
A/C CHANGE: OU'M�
:Address
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3520 Roselawn Blyd Fortl'ierce Flonda 34982 = °:- .
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Property Tax�ID# 2428-703 0017=000=7` ,. , :. .-' - Lot No 17.
Srte Plan Name Roselawn 61Yd 1
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Project Name:.
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CHANGE OUT
FUJITSU 4`TON14 SEERS 8KTRl -
New'Electrical Meter : d Electrical Meter
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Atldit onal work.it)'b performed; under this permit -=check all that apply;;. -
Mechanical Gas Tank r Gas Piping Stutters Wmtlo4ws/Doors Rond
Electric Plumbing _Sprinklers: Generator Roof :Pitch
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Total Sq Ft of Const uction: SqFirst Floor,
5,000 00
Cost of-Construetiorti $ Utilities`; Sewer ,._Septic B Id[- Height,
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Name Halley ShenyH e.hIATHANAEL`MEJIAr
Nam
Address 3520 ROSE(.AiIVN BLVD Company N1EJiA ACAND"HEATING LLC
City ;PORT'SAINT LUCIE State address 2 Sw SAVONA BLVD
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7rp Code 34982 Fax: _ ;,City:PORT SA,INTLUCIE 5tateFL
Phone No
-Z�p Code
34953
Fax:,
Mail rvPhone No772 361-3220
` FrllIT a;s mple Title Holder on'next.page(if`,ClrfferEnt f Mad::"��'� '-ana@ginall com or mejiayu�squeya@yahoo com
from=the Owner listed,above). State or County License
OW
13067579
ff value of constructic is 2500 ar moire,a EaECORDED Noike of Corrtmencement i Ce�eir�
:If value ofmAVC s 7,'Sitt9 pr-mare,a ItECARDED llbtice of Commencement is resinised _
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DESIGNER%ENGINEER:" _';Not Applicable MORTGAGE COMPANY Not Applicable:
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AAddress:
' ress:
City
State: City_ State:
Zip Phone Zip Phone _
FEE'SIMPLE TITLE HOLDER_ ;Not Applicable ;BONDING COM"PANY Not,Applicable
Name
- •- � - ,Name.
Atldcess:. _ r `.Atldress.
City.,
Phone.
OWNER/.CONTRACTb.k A0h6VIT:Appilcation is hereby made,to obtain a permit to do,the work and installation as indicated:
1 certify tha"t no work or installatton.;has commenced prior to.the;issuance-of.a permit:. .
St Lucie Gounty:niakes no representation that is granting'-a.permit vuill authorize tlhe ppen iit holder to�buiId the subject'structure
which.is in conflict with"any-applicable H.omeOwners:Association.r•ules,bylaws or and covenants that-may restrict or prohibit such,
'structure.-Pl`ease consult with your,Home O,v mers:Association.and"review-your deed for'any eestrictions which-mayapply.
In coh d&ation of'the'granting of.this requested permit,Gdo hereby agree;.that l will,in ail respects;perform,ttie work
in accordance with the approved plans;ahe dorida;Building:Codes and'St-Lucie Amendments."
The.following building.permit applications ar.'e exempt fro'm. lndergoing'a-full concurrency;review;;room:auditions,
accessorystructures.Swimming-pooIs;'fences;:wallS,signs;_screen:'roorns.and accessory uses to another non residential use
WARNING`TO OWNER;'Youtfailute to Recard'.a`Notice of CommencetneniE;:may result in paying tavice`fo�
improvements to your.proper-ty.,-A Notice:of Commencement must be recorded in_the,public records of St:
1_ucie County and posted c the.jobsite before-the fast inspection,If you intend to obtain financing,for)$pit
with ler der.--o ' attorne :,before comrnencin- work or.recordin ` 0dr.Notice,of Commencement-.
Si a.Lire:of.'Owner/;Lessee:Contraetoe as A ent for O� �.Si na Lireo Contracto/ ense,"older
STATE OF-FLORIDA_ , STATE
.OF ELORIDA
COUNTY OF sNNTwq,E CCIUNTY OF.-'saeireuciE
Sworn to(or affirmed)."and.subscribed before me of- ., 'Sworn to(or:a_'ffirmed)",and subscribed before:me of - -
.,Physicai Presence or Online Notarization � Physical Presence"or. Online Notarization
„>
this a day`of IANUAkY "29�8-by this.$ day of JANUARtf
,2e21
NATHANAEL MEDIA INATFMAEL MEAA y "
Name of person.rtiaking stateriient kame7di person making,statement.
Personally Kndwn x�00000c ,DR Produced;I'dentification,.. :Personally Known x>oaxx OR Produced°Identifcation :.
Type;of Ideh ifice ' Type of Identification
Produce Produce"
_
(, ture,o.f of of Florida) - : (Sig• to u ic-`State`of-Florida
C rriissi t ROSA E'.'GONZALEZ eat) CommissionAN '� � ROSAL GONZAI,� I)
MY COMMLSSIO 349505' N#GG349 0 "
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�? EXpI1tES:.July 01 2023 - EXPIRES:July Ol 2033"
REVIEWS FRONT ZONING. SUPERVISOR ,`PLANS VEGETATION SEA TURTLE MANGROVE.
-COUNTER REVIEW REVIEW REVIEW REVIEVI/ REVIEW REVIEW-
OATEIT
RECEI,VED:.
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COMPLETED.
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