HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 4,2015 Permit Number: lsys
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce RL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXX
PERMIT APPLICATION FOR: Mechanical
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ddress: 6772 Mar Pacifico, Ft. Pierce, FL 34951 (Spanish Lakes Fairways)
Legal Description: 06/07 34 39 ALL THAT PART LYG NELY OF 1-95-LESS SPANISH LAKES FAIRWAYS(PS 35-5)AND LESS THAT PART
roperty Tax ID#: 1306-111-0001-000-0 Lot No.
ite Plan Name: Block No.
roject Name: Gibson
Setbacks Front Back: Right Side: Left Side:
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Change out existing a/c unit: -installed Rheem 3 ton 15 seer, HP
Condenser model #15PJL36A01 Serial #W061423063
Air Handler model #RHLL-HM3617JA Serial #W301402830
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ltiona I work o be riertormeclun er t is permit—check all thLat appy:
Z✓ HVAC Gas Tank Gas Piping CGenerator
shutters Windows/Doors
11 Electric Plumbing ❑Sprinklers Roof
Total Sq. Ft of Construction: S , Ft.of First Floor:
I"ost of Construction: $ 5,800.00 Utilities:11 Sewer Septic Building Height:
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ame Virginia Gibson Name: Sherried O Watson
ddress:5772 Mar Pacifico ~� ProMag Energy Group A/C and Hosting, Inc.
ity: Ft. Pierce State: F Company;
Address: 4205 1/2 Metzger Road
Zip Code: 34952 Fax: City. Ft. Pierce State'FL
hone No.772`460-5066 Zip Code: 34747 Fax: 772-252^4831
E-Mail: Phone No. 772-252-4831
Fill in fee simple Title Holder on next page(if different E-Mail: lisal@promagenergygroup.com
rom 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: xxx Not Applicable
Name: Name:
Address: Address:
City: State: City: _State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE 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 ermit will authorize the permit holder to build the subject structure
which Is In conflict with any applicable-Home Owners AssocFation 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 withlender or an attorney before
1commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Agent Signature of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st.1-vou COUNTY OF st-L
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'5_daqof d, 20 t1_5_by this 5 day of m"y 20 Is—by
Lisa Mane LawraAa I Shornod 0 watson Una Marin LawrenCi)I ShorrIed 0 wallon
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of N ( atureof Notary P I45jMt-ngIcwjd2I_
ENCE USA MARIE LAWRENCE
Personally Know 01 V P4411 141111A of 1400da Personally Known xxx 8cM!WR2t1Ica*a oi Finxids
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Commission Ni Commission No. EhH
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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