HomeMy WebLinkAboutBUILDING PERMIT APPLICATION11
ALL APPLICABLE INFO MUSYSC COMPLETCO FOR APPLICATION TO BE ACCVPrED Do C):?
Date: January-2,2015 SCANNED Permit Number:
BY
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St. Lucie County
NOW
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, rort PierCe rL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxx
PERMIT APPLICATION FOR: Mechanical
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Address: 6631 Alemendra
Legal Description, Spanish Lakes Fairways BL.K 50 LOT 25 (OR 1848-1328:3249-4S5)
Property Tax ID #; 1.306-500-0173-000-0 Lot No. 26
Site Plan Name: Block No. 5()
Project Name: Greene
Setbacks Front Back: _ Right Side: Left Side:
Replacement of A/C system - Goodman 3,5 ton - 13 seer HIP - Puron Split
Condenser: M# GSZ1 30421 S#1 405604800
A/H: M#ARUF42C14 S#1 405038870
witionai worK to rtormea uncier inis permit — Cl
RIHVAC "n Gas Tank E]Gas Piping
11 Electric 0 Plumbing LiSprinklers
all Mai apply:
DShutters
Generator
Windows/Doors
Roof
Total Sq, Ft of Construction: S Ft of First Floor,
Cost of Construction: $ 4,463.00 Utilities.11 Sew'er �] Septic Building Height:
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Name Marthe J. Green
Name: ShorrIod 0. Watson
Address: 6631 Alemendra
Company: Prolviag ]=-norgy Group
Address: 4205 1/2 Motz9or Road
City, Ft. Pierce State: FL
Zip Code- 34951 Fax:
City. Ft. Pierce State: FL
Phone No. 772-577-3023
Zip Code: 34947 FaX: 772-252-4831
E-Mail:
Phone No. 772-467-3227
Fill in fee simple Title Holder on next page if different
E-Mail: , lisal@promagenergygroup.com
from the owner listed above)
State or County License: CMCA48033 I SLC#27034
it value ot construct -ion is 575oo or more, a RECORUIE;Q Notice ot Commencement is required.
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Name:
Address:
EL- Not Applicable
City: state:
Zip* Phone:
FEE SIMPLE TITLE HOLDER: xxx Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: xxx NotApplicable
Name:
Address;
City., State:
Zip: Phone:
BONDING COMPANY: xxy 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 holoar to build the skiblect structure
which is in contlict with any applicable Home Owners Association rules, bylaws or and . covenant!; that may restrict or prohibitsuch
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, ignsscreen rooms and accessory uses 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 jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commenciniz work or recording vour Notice of Commencement. ,
Signatdre of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF St. L.d.
The forgoing instrument was acknowledged _bjefore me
this _ day of , 20 -1b by
Shatried 0. Watsch
(Name of person acknowledging)
LISA MARIE LAWRENCE
�, I - "!K ?�,WO :,kOtO Of Florlda
I ' Bonded through Nationall ISO.
Pergion'511rK ... ....
Type of identification Produced
Commission No. 0:5 082642 (Seal)
Revised 07/15/2014
Contractor/ Lice n 5e Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 2nd day of J-unly � 20_AS by
Shrirriod 0, Wallson
(Name of person acknowledging)
L MAFLIE LAWRENCE
ISA
W.201?
*'"Comrniselon 0 EE
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Pers nall KK n
Type of I
Commission No. �'h'302547 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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