HomeMy WebLinkAboutBuilding Permit Application 201.5 4:02PM No, 4546 P. 2
ALL APPLICABLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Plerce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 2911 Navajo Avenue
Legal Description. SAN LUCIE PLAZA SID-UNIT ONE-SLK 57 N 112 OF LOT 16 AND ALL LOT17(MAP 141258)(OR 1225-1752)
Property Tax ID#: 1428-7021262-000-3 Lot No.16&17
Site Plan Name: Betty Huber Block No. 57
Project Name: Betty Huber
Setbacks Front Back: Right Side: Left Side:
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HVAC Equipment Change out; Make - Carrier; AIH - FB4CNF042LOOl C/U -CA14NA042000
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AdditionalworK to uni-formed under tIs perm —checK a appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Q Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq!.Ft.of First Floor:
Cost of Construction:$ 4563.91 Utilities Sewer OSeptic Building Height:
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Name Betty Huber Name: Donald W o'Bryon
Address:2911 Navajo Avenue Company: Preferred Alr Conditioning&Mechanical, Inc.
City: Fort Pierce State,FL Address: 1643 Donna Road
Zip Code: 34946 Fax: City: West Palm Beach State:FL
Phone No.772-489-8945 Zip Code: 33409 Fax: 561-478-0089
E-Mail: Phone No. 561-689-1093
Fill in fee simple Title Holder on next page(if different E-Mail: tricia@preferredecmech.com
from the Owner listed above) State or County License: CAC1817665
if value of construction is$2500 or more,a RECORDED Notice of Commencement Is 7quired.
2015 4:03PM No. 4546 P. 3
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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
commencing workqr recording our Notice of Commencement.
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—Signature of Ower/Lessee/Agent 51gnature of Fo`ntractorlAcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PaimBean COUNTY OF Pafmswn
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi day of MQkA 20 Eby this a0day of May 20 I.E by
Donald Wayne&bryon-AsAgenl Donald Wayne 4°Bryon
me of pers nowledgi {Na of persona wle Ing
S• a a ubiic-State of Florida) Signature o Not Public-State o orida)
ersonally nown x OR Produced Identification Perso Known x OR Produced identification
e of Id tification Produced rr _- _--- Type of Identification Produced
_ `"1�p,`� C ILIA RADD ��'ay:�°,_
Commission No. iI�J c`. °rc� Sear C mission No. +* a' iRI�� ADD
om tssion#E F 11354 II Commission u EE 113546
My Commission Expires = My Commission Expires
,,,Lf..•` My 10. 4 1 + Ju y 18 2nl-z; fy
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS