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BUILDING PERMIT APPLICATION
k�. c L ALL APPLICABLE INFO MUST BE C MPLE ED FO - RP �1ON TO BE ACCEPTED fifi Q� 437�A4�I t D �—V 2 (l� Date: 08/13/2014 % BY Permit Number: 10; 7 fit, i.UEio Ceunty 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 PERMIT APPLICATION FOR: Other PRC�I�©iVIf�R01/EMV l'GP+TiQ�! Address: 9500 S Ocean Drive Unit 302 Legal Description: Islandia II Condominium Unit 302. Property Tax ID #: 45�-na. Site Plan Name: Project Name: AC Replacement Setbacks Front Back: Right Side: Left Side: Lot No. Block No. Replace existing 3 Ton AC system with First Company 3 Ton Water Source Heat Pump. 13 EER and No KW. No duct work to be completed at this time: Aaamonai worK to De rrormea unaer tnis permit— cnecK an im apply: ZHVAC L_J Gas Tank ❑Gas Piping _ Shutters []Windows/Doors 11 Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 1228 S Ft. n of First Floor: Cost of Construction: $ 2500.00 Utilities:InSewer l �iSeptic Building Height: "��%� (�( - j��'" �` �+' „� ,.�-�, ,� e �*,M .� rz axe s xs^:: s• r �s t '., C�[TRA TOR, h� , .� < a ;Y 7lz#Vi.FJC -s�' x�'r. Name Brian Schmidt and Kayla Laswell Name: Kim D Wilson Company: Premier Plumbing & Air LLC Address: 8231 238th Ave City: Salem State: _ Address: 108 NE Dixie Hwy City: Stuart State: Zip Code:, 53168 Fax: Phone No. 262-843-1642 Zip Code: 34994 Fax: 772-692-1094 Phone No. 772-692-2500 E-Mail: Fill in fee simple Title Holder on next page (if different E-Mail: preplbgac@gmail.com from the Owner listed. above).; _ State or County License: CAC-033574 / 25222 If value of construction is $2500 or more;` a RECORDED Notice of Commencement is required. W10 fivi s �z liiP� NT�4lCONTRUCTIN Lid INRM LION£ F { DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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: 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 commencin>; work or recording your Notice of Commencement. q i natur,. of Owner/ Agent/ Lessee tIli �Cu f Contractor/License Holder STATE OF FLORIDA COUNTY OF Martin The f oing instr ent as c wknowledged before me this l day of 20 14 by STATE OF FLORIDA COUNTY OF Martin The forgoing instrtlment was acknowledged before me this L,-"DL day of 2014 by Kim D Wilson 1 Kim D Wilson (Name of person acknowledging) (Name of pers acknowledging ) O'L� & JJ I(Q L (Signatur f Notary Public- State of Florida ) Personally Type of Id( Commission Revised 07/ 15/2014 0 . uta'AeL (Signature of Notary Public- State of Florida ) Personally Known _ Type of Identification Commission No. My REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED