HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6120/2016
Permit Number: I . 0a19 I
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Building Permit Application SCANNED
Planning and Development Services e y
Building and Code Regulation Division St. t(lCie
2300 Virginia Avenue, Fort Pierce FL 34982 County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical III
1664 Walton Road, Port St. Lucie, FL 34952
Legal Description: PORT ST LUCIE-SECTION 61-TRACT K (1.76 AC) (MAP 34/36S) (OR 1492-927)
Property Tax ID q: 3420-805-0013-000-4 Lot No..
Site Plan Name: Walton Road Annex Block No.
Project Name:_FPL-Walton Road-ESCO
Setbacks Front Back: .. Right Side: Left Side:
Replace chiller and pumps.
VV Electric Plumbing Sprinklers Gene
❑✓_HVAC Gas Tank ❑GesPl m _Shutters aWindows/Doors
❑✓ ❑ � � rotor Roof
Total Sq. Ft of Construction: S, of First Floor:
Cost of Construction: $ `�f!�/D OO Utilities:SewerUSeptic Building Height:
CON�RAC;TOR
Name St. Lucia County _
Name: Kenneth Morgan
Address:2300 Virginia Ave.
Company: Florida Mechanical LLC.
City: .Ft. ,Pierce _ State:FL
Zip Code: 34982 Fax:
Phone No.772-462-2136
Address: 3615Fiscal CT
City: Riviera Beach State: FL
Zip Code: 33404 Fax: 561-863-3642
Phone No. 561-863-3606
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: tgideon@flamech.com
State or County License: CMC1249562
It value of construction is S25U0 or more, a RhCUxutU IVOtiCe or Lommencemenc is regvvea.
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MORTGAGE COMPANY: X Not Applicable
DESIGNER ENGINEER: _Not Applicable
Name- RGOConul4nBEP8lneem
Name:
Add res5: 2151 S. Aft A1A Butte 200 - -
Address:
City: Jupiter State: FL
City: State:
Zip: 3W7 Phone: 561-743-0165
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: _Not Applicable
Name-
Name- F1de1tlr.BDepuslt Comparyof MD
Address:
Address: t:p.Bo.1227
City: Balumore, MD
City: _.
Zip: Phone:,
Zip: V263 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, 1 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 ur paying twice for
improvements to your property. A Notice of Commencement must be rec rded an osted on the jobsite
before the first inspection. If you intend to obtain financing, consult wit nder o n attorney before
commencing work or reco ding vour Notice of Commencement:
s
_ signatu of Owner/ Les Agent
SignatureItontractor/License Holder
STATE OF FLO t f
STATE OF FLORIDA
COUNTY OF oOS�ZZILGs?/
COUNTY OF-i-u-
The forgoing instr nt was acknowledge efore me
�
The forgoing instrument was acknowledgd6before me
20 J118
LL,by
this -day of 24L.by
this day of .20
_ < �
Roberta Hor.Wd
(Nam- person acknowledging )- --
(Name of person acknowledging)
1
I
ignature of Nota - e f F on a
(Si` ature of, Lary Public. -State of Florida)
Personally Known Pro duce80Bl6iiiffWON -
o��1
Personally Known x OR Produced Identification
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Type of Identificat n or PuDlk - Stw of Florida ,
Type of Identification Produced-
..,' My.Cow. Explm Oct 31. 2015
Commission No,.. -'% Cti)I ff 13fIS41
Commission No. AEI)_--_ELD
—Ind „ W IX)WSSION i FF IBM,
Revised07/15/2014 g'zp„°"f' eomeatnmeu�eiiisarii
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�� qI►r
COMPLETE
OLIII
INITIALS