HomeMy WebLinkAboutBuilding Permit Applicationr-
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /20/2021 Permit Number: ';ts
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RECEIVE
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
`PERMITTYPE:AC Change Out
Building Permit Application FEB 19 2021
Permitting Department
St. Lucie County
Commercial X Residential
Address: 2410 SE Morningside Blvd. Port St. I
Property Tax ID R: 3420-815-0001-0104
Site Plan Name: Port St Lucie Morningside Libra
Project Name: Port St Lucie Morningside Librar
Mechanical Permit
FL 34
AC Ur)gra
Lot No.
Block No,
Additional work'to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
_ Electric _, Plumbing _ Sprinklers _ Generat6r _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _P—Q. O D e Utilities: —Sewer _ Septic Building Height:
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Name St. Lucie County
Name: John Kenneth Walsh
Address: 2300 Virginia Ave
Company: Trane
Address: 2884 Corporate Way
City: Fort Pierce State: `
Zip.Code: 34982 Fax: 772-362-1704
City: Miramar I State: FL
Phone No. 772-262-1700
Zip Code: 33025 I Fax:
E-Mall:
Phone No 954.499-6900
Fill In fee simple Title Holder on next page ( If different
E-Mail stephen.landry@trane.com
from the Owner listed above)
State or County License CMC1249843
It value of construction Is W500 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: _ Not Applicable
MORTGAGE COMPANY:~+ Not Applicable
Name: Salos Obden
Name: NA
Address: 3501 Quadrangle Blvd,
Address:
City: Orlando State: FL
City: State:
Zip: 32817 Phone 407-380-0400
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: NA
Name; NA
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
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 concurren I review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory rises 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
STATE OF FLORIDA
COUNTY OF 5r Le.c
The forgoing Instrument was acknowledged before me
thIss 25- day off. 201 by
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Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
olgIN signed by- John Walsh
John WaIshDfi, Jwalsh@1ranexam
U.S.
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Signature of Con tractor/LicensEaW43Pd?r01.2g +3.18'01 -osoo,
STATE OF FLORIDA
COUNTY OF `tl
The forgoing instrument ds acknowledged before me
this �Uday of ` Cer U ov- 20,i by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
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DATE
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