HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0BEACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce 83498Q
Phone: (77Z)462'1553 Fax: (772)462'157O CO0UDlerCi8lResidential )<
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line MECHANICAL
A/C CHANGEOUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7924 MEADOWLARK LN
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 49 LOT 13
Property Tax |D#: 3425-706-0172-000'7
Site Plan Name:
Project Name: xJ\LLMAN
Setbacks Front Back:__
Right Side: Left Side:
INSTALL A 4 TON 14 SEER RHEEM PACKAGE UNIT WITH 1OKW HEAT
Lot No. —
Block No.
AaClitionaiworKtOpenerTormea
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Gas Tank
unoertn/s n cnec*aU
osPipin0
that apply:
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| |VVindovvs/Doors
ens
L�lE|pctric
Plumbing
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[_-1Generator
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Roof
Tota|3q. FtofConstruction:
Cost of Construction: $ 5700
of First Floor: ___
Utilities: D Sewer I ]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 904-430-7263
Address: 7862 SW ELLIPSE WAY
City: STUART State: FL
Zip Code: 34997 Fax: 772-220-3787
Phone No. 772-220-2487
E-Mail: INFO@SHARKEYAIR.COM
State or County License: CAC1816853
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable 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 Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 failure to Record a Notice of Commencement may result in your paying twice for
improvement your erty. A Notice of C encement must be re ed a posted on the jobsite
before the ' st ins c n. , ou intend tain financing, consult len an attorney before _
comme ng wo .re In>; voupNotice of Commencement.
Agent
STA'
The forgoing instrument was acknowledged before me
this10Thiday of SEPTEMBER . 20 21by
(Name of pe
g)
(Si aturTKwn
ry Public- State of Florida )
Personall✓ OR Produced Identification
Type of
4P f�04
e of Florida
Commis k
yG 9-45374Sea
o h Expires 117/2024
Revised 07/15/2014
rise Holder
S=F FLORI
TY OF MARTIN
T e forgoing instrument was acknowledged before me
this 10TI-illay of SEPTEMBER , 20 21 by
KEVIN M SHARKEY
(Name of person acknpwledging )
Public- State of Florida )
Personally Knoy n ✓ OR Produced Identification
Type of I�etjfi
Notary Public State of Florida
Co oKate M Wiegerink (Seal)
+� My commission�`t345375
+,�_ ..d� Expires D411712024
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