HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number- /50(z, 0 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34.982
Phone:(772)462-1553 Fax:(172)462-1578 Commercial Residential >0=
PERMIT APPLICATION FOR: Mechanical
WENT
_:PROP,6SED1M,PR'O`Vt t0'CATIOW,'
Addres-: 5661 Spanish River Road
Legal Description: Portofino Shores-Phase Three-(PB 43-40)Lot 232(OR 2663-213)
Property Tax 10#. 1312-503-0038-000-0 Lot No 232
Site Plan Name: Block No.
Project Name!
Setbacks Front Back: Right Side: Left Side:
b
P Tt
Change out existing A/C with new. Rheem 5 ton-15 seer, HP with 10kW heat
Condenser. Model #15PJL60A0I Serial#W231431836
Air Handler: Model #RHLL-HM6024JA Sedaf#W261406104
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Additional Work to bem nerrormeT u—n-dirtnis permit-F eCK all tn apply:
ZHVAC Gas Tank E]Gas Piping _Shutters E]Windows/Doors
11 Electric Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: Sc Ft of First Floor;
Cost of Construction:$ 5.200.00 Utilities; Ft.
[]Septic Building Height:
1. 1 tA C T.10 R
WU e MI E -',-CON
Name FUcharCaraballo Name: Sheffied O.Watson
Address:5661 Spanish River Road Company: ProMag Energy Group AJC&Heating, Inc.
City: FL Pierce State: FL Address; 4206 1/2 Metzger Road
Zip Code: 34951 Fax: City: Ft Pierce State:FL
Phone No.404-662-1800 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@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 Commencementils 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: 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 permit will authorize the permit holder to build the subject structure
which Is in conflict with an applicable Home Owners Association rules,bylaws or and Covenants that may.restrict or prohibit such
structure.Please consult w th 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 work or recording your Notice of Commencement.
s
_4rignature of owner/Lessee/Agent SISMure of Contractor/License hla;I_dcF
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Romp COUNTY OF mewd-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this CZ day of J—UNA- 20 L%_by this w' day of-June .2o L% by
USA MARIE LAWRENCE LISA MARIE LAWRENCE
Liao Marto Nbla(V Public-Stato of Florida Woo Mario LAwrence NolaryPu Iq-.Statoo1FiorId2
(Name of Pers 94megomm,Expiraz Mar 1 (Name of person 1150 06MM.Upires mar 71,2017
525
tl 254 E E 894
Of perso evm,pry Commis3lon*EE 882542 Commission#EE 852542
6; ZqW.' Notary
53n. n I Notary Assn.Bandad Through National Notary Am% Banded Through National Notary Assn.
(Signature of Nota blit-State of Florida) ATature of Notary Pubfte-State of Florida)
Personally Known xxx OR Produced identification Personally Known Xxx OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. EE 1182942 (Seal) Commission No. EE 882542 (Seal)
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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