HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPILICATION TO BE ACCEPTED
D M29.2015
pate; Permit Number: 15b'5
mom Building Permit Applicii tion,
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Pott Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Mechanical
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Address. 10200 Isla of Pines Court, Port St. Lucie, FL 34986
Legal Description: Callaway Place Lot 6(OR 1200-2003; 1375-148:3568-2263)
Property Tax ID#: 3321-802-0012-000-4 Lot No 6
Site Plan Name: Block No.
Project Name: Arenclas
Setbacks Front Back: Right Side: Left Side:
VIA
Replace existing A/C unit with Rheem 5 ton-16 seer, SC, Split with 1 Okw heat
Condenser M#14JM56A0I S#WO81501636
AN M#RHLL-HM6024JA S#W141520558
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Ad-dTmo—na I work to b orf rmed under this permit–check a that apply: F�
ZHVAC Gas Tank []Gas Piping F15hiftters Windows/Doors
Electric Q Plumbing O Sprinklers Generator Roof
Total Sq. Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 5,861,00 utilities: Sewer Septic Building Height:
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Name BefAafd J Arendes Name- Sherriod b Watson
Address:10200 Isle of Pines Court Company- PrOM,ag Energy Group Heating&A/C, Inc.
City: Port St.Lucie State.FL
Address: 4205 i/2 Metzger Road
Zip Code: 34986 Fax: City! Ft.Pierce state:FL
Phone No.772-466-9090 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@promagenegygroup.com
from the Owner listed above) State or County!License- LMCA 48033
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if value of construction is$2S00 or more,a RECORDED Notice of commencement IsIrequired.
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DESIGNER ENGINEER: xxx Not Applicable MORTGAGE tOMPANY; xxx Not Applicable
Name: Name-,
Address: Address:
city: State: -City:— — - State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: xxx 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 Horne 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 Commencernen't may result in your paying twice for
improvements to your property. A Notice of Commencement must belrecorded 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 recordiQg your Notice,of Commencement.
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Signature of owner/Lessee/Agent Signature of Contractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SLLd. COUNTY OF $t.Wmplo
The forgoing insqument was acknowledged before me The forgoing instrument ument was acknowledged before me
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this614_day of 20 t5 by this day of M*y
20 by
ShrrIod 0,WAW4- Sharriad 0 Wetton
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of NotaIi State of Florida) (Signature of Notbry4rPtilicn,
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Personally Known X Personally Known! IV t ry t LAWRENCE
Type of Identificatio Not,ziry Pubiic-state at For do Type of Identificati n P 1168 Mar?I,7077 1
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Commission No. F C FE
Ann h Allional Notary Assn, Commission No
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Assn,
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGL—rATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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