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All APPLICABLE INFO MUST BE COM_--_ -:'ED FOR APPLICATION TO BE ACCEPTEC'` _
Date:
Permit Number: & 10 1^ C2 —96
RECEIVED
JAN 2 5 7071
Building Permit Application Permitting Departmen.
Planning and Development Services
Building and Code Regulation Division Commercial X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
St, Lucie Coun',
Residential
PERMIT APPLICATION FOR:
PROPOSED' IIVIPROVEIVIENT tLOCATION h -
>..,M
Address: 8702 Champions Way, Port St. Lucie, FL 34986
Property Tax ID ##: 3327-802-0000-000-5 Lot!No..
Site Plan Name: Block No.
Project Name: Sheraton PGA - Mini Splits
Install (3) new 1.5 ton mini splits in electrical rooms for buildings 2, 3, and 4
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
XMechanical _ Gas Tank —Gas Piping _ Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ -db
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR ,
Name Village North Condominium Association
Name: Larry R. Wrye
Address: 9002 San Marco Court. S�.
company: Farmer & Irwin Corp.
City: Orlando State: FL
Address: 3300 Avenue K
City: Riviera Beach State: FL
Zip Code: 32819 Fax:
Phone No.
Zip Code: 33404 Fax:
Phone No 561-662-0123
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail OHurtado@fandicorp.com
from the Owner listed above)
State or County License CMC1249948
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.
i
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
_ Not ApplicableI BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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 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 or an attornev before commencing work or recording our Notice of Comm cement.
9rgnature of Contractor/Lice er
5111-94fure, of Owner/ Lessee/Contractor as Agent for Owner
STATE OFFLORIDA('
STATE OF FLORIDA
COUTY Ob-t
COUNTY OF AhkfthueA
Sw rn to (or affirmed) and subscribed before me of
SVprn to (or affirmed) and subscribed before me of
X
Physical Pres nce or Online Notarization
this 0 day of N✓ , 202 � by
physical Pr_e�sB}�?e-or Online Notarization
this day ofva jai
L e
Name of person making statement.
/
Name of Pelson makin tatement.
I
Personal) Known OR Produced Identification L
Y
Personally Known OR Produced Identification
Type of Ide ication
Type of Identification
Produced CF
Produced
(Signature of Notary Public- Sta Ia) NotaryPublio
g Fk
t:aty of//l�
(Si a of Notary Public- State FZQP4
State of Florids
No. (6 -D3-. tmis MEx0res0711
`� 2 AiV ' 4HH WCommission
07?ommission No7 7 eI
Comntsslon No. GG
I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW1
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.