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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: -27 O 7 —0))
Sir.��n� 0 RECEIVED
o ll JAN 1 1.2020
Building Permit Application Permitting Department
St. Lucie County
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxxxxx
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: AC CHANGE OUT
P==REPOSED
Address: 6876 BRONTE CIR PORT SAINT LUCIE FL jc1L ��Z
Property Tax ID#: 7 0 Lot No.
Site Plan Name: Block No.
Project Name:
s: �7 —;ar S sT ON`OFWO ` t
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AC CHANA E OUT - a Le 5 Jt'`p
0Ff /.t/ S�Cg• 5joo / G 4 T coot
AT-6/z. ,
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
X—Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ / f-bD `"J Utilities: —Sewer _Septic Building Height:
OWNER%LESSEE'y 'CONTRACTOR ,
NameANNA KEDDER Name: NATHANAEL MEJIA
Address:6876 BRONTE CIR Company:MEJIA AC AND HEATING LLC
City: PORT SAINT LUCIE State: Address:2344 SW SAVONA BLVD
Zip Code: 3149J Z Fax: City: PORTSAINT LUCIE State:FL
Phone No.860-690-6559 Zip Code: 34953 Fax:
E-Mail: Phone No 772-361-3220
Fill in fee simple Title Holder on next page(if different E-Mail mejiasabana@gmail.com or mejiaquisqueya@yahoo,com
from the Owner listed above) State or County License RA13067579
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL fl-NSTR;UCTION Lt {..—�
r EN LAW INE!ORMAT{�dN
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DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 covenantsthat 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.If you intend to obtain financing, consult
with lender oir an attorney-before commencing work or recordingyour Notice of Commencement.
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Signa of Owner/Lessee/Cbntractor as Agent for Owner Signature of Contraddr7fftnsd Holder
STATE OF FLORIDA , STATE OF FLORIDA
COUNTY OF C/ COUNTY OF
Sworn to(or affirmed)and subscribed before me of Swor o(or affirmed)and subscribed before me of
ysical Presence or Online Notarization I Physical Presence or Online Notarization
this day of 2r}3B by this day of /�— 2929 by
GZ ate/ �1
Name of person making statement.. Name of person makings ement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identi catid'n Type of Identification
Produced Produced
(Signa r o Nota Public-State of Florida) (Sign*bt of No ry Public-State of Florida)
Comm' s1 P�`� ROSA E.GONZALEZ eal) Com .issi .`°� ZALEZ Sea[)
ISSION#GG349505 e MY COMMISSION#GTG349505
EX RES:July 01,2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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