HomeMy WebLinkAboutBuilding Permit Application �- f- 0 r-ro
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 28,2015 Permit Number:
Late lei
Building Permit Application
Planning and Development Services
Building and Code Regulation DiviSion
2300 Virginia Avenue,Fon:Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Xxx
PERMIT APPLICATION FOR: Mechanical
Address: 119 Ocean Bay Drive,Jensen Beach, FL 34957
Legal Description: Ocean Say villas(OR2627-1946)Unit 119(OR3461-369)
Property Tax ID#: 3522-608.0013-0002 Lot No.
Site Plan Name: Block No.
Project Name: Berkach
Setbacks Front Back: Right Side: Left Side:
1 mpg FP
Replace existing AIC unit with new: Rheem 4 ton-15 Seer with 10kw heat
Condenser. Madel #15PJL48AO1
AIH Model #RHLL-HM6024JA
I WE
Additional work torrormed underthis permit—check all appy:
T]GasTank
1 HVAC ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Q Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of construction:$ 5,236.00 Utilities:Sewer 0 Septic Building Height:
Name Don Berkach Name: Shamed O Watson
Address:119 Ocean Bay Drive Company: ProMag Energy Group
City: Jensen Beach State:FL Address: 4205112.Metzger Road
Zip Code: 33433 Fax: City: Pt• Pierce State:FL
Phone No.561-417-7735 Zip Code: 34947 Fax: 772-252-031
E-Mail: Phone No. 772-467-32.27
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: CMCA 48033
If value of construction Is$2500 or more;a RECORDED Notice of Commencement is required.
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DESIGNER ENGINEER: xxx Not Applicable MORTGAGE COMPANY: ' Not Applicable
Name: Name:
Address: Address:
City: State: City: State:.
Zip: Phone: Zip: Phone:
FEE SIMPLE TrME HOLDER: xxx Not Applicable BONDING COMPANY: xxx 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 Hermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Asocipation 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 nonresidential 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
commencing work or recording our Notice of Commencement.
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rgnature of owner/Lessee/Agent Signature of Cont Tactor cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 9L Wale COUNTY OF 81.Lvvo
'rhe forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of .__. . 20 by this 28 day of 4" 20 by
ShoMad R.Wamdh uea Mane r.awranm Sheeted o wabon Lim Mario Lawrance
(Name of person acknowledging) (Mame of person acknowledging)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SETA TURTLi? MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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