HomeMy WebLinkAboutBUIDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/3/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
MECHANICAL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line A/C CHANGEOUT
PROPOSED IMPROVEMENT LOCATION:
Address: 13827 S INDIAN RIVER DR 63
Legal Description: LAKE MANOR PARK COOPERATIVE SITE63 (OR 2592-53; 3726-1549; 3941-491)
Property Tax lD#: 4509-805-0063-000-4 Lot No.
Site Plan Name: Block No.
Project Name: DAVIS
Setbacks Front Back: Right Side: Left Side:
INSTALL A 3 TON 14 SEER TEMPSTAR PACKAGE UNIT WITH 10KW HEAT, REPLACE MOBILE HOME
DUCT DUE TO CONDITION
Adcutionai work to nertormeci unciertnis permit— cneCK all apply:
F,/IHVAC Re pGas Tank F]Gas Piping 11 Shutters a Windows/Doors
nElectric F]Plumbing FISprinklers F]Generator Roof
Total Sq. Ft of Construction: S . Ft of First Floor:
Cost of Construction: $ 7907 Utilitiesl] Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Daniel E Davis Mary F Davis
Name: KEVIN M SHARKEY
Company: SHARKEY AIR LLQ
Address: 13827 S INDIAN RIVER DR 63
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 269-209-6381
Address: 7862 SW ELLIPSE WAY
City: STUART State: FL
Zip Code: 34997 — Fax: 772-220-3787
Phone No. 772-220-2487
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: INFO@SHARKEYAIR,COM
State or County License: CAC1816853
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: __v/ Not Applicable
Name:
Address
City: _
Zip: _
State:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
✓ Not Applicable
State:
BONDING COMPANY: ✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
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: Y0_LWWijjKe to Record a Notice of Commencemen may t in ur paying twice for
improvements t you pe . A Notice of Commencement mus e d d osted on the jobsite
before the f o you intend to obtain financing, co I I er o an at ey before
comme 'n rk r rdin voui_Notrre of Commencem t.
_ Waf-ure 9)4WeF/'Les e/Agent
The forgoing instrument was acknowledged before
this3RD day of DECEMBER 20 2J
KEVIN M SHARKEY
(Name of per on acknowledging )
(Sig ur Notary Public- State of Florida )
Personally Known ✓ OR Produced Identifi a i n
Type of Identificat g� c
'F Kate
Commission No. K .1 my G
Revised 07/ 15/2014
The forgoing instrument was acknowledged before me
this 3RD day of DECEMBER , 2a 21 by
KEVIN M SHARKEY
(Name of pgson acknowledging)
Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identifi
'40
Notary Public State of Flonaa
Commission N Kate M Wiegerink�c�'
CoQam�--;on GG 84' D
Expires oai»rzo2a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS