HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/9/15 Permit Number:
s .
:..,.� RECEIVED
Building Permit Application
Planning and Development Services JUN i 9 2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ./
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PR ' 'POSEDIMPRQVEMEN ' LO.CATIQN: k .
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Address: 9550 S OCEAN DR 310
Legal Description: ISLANDIA I CONDOMINIUM UNIT 310 (OR 562-1311-, 3023-680)
Property Tax ID#: 4502-601-0024-000-2 Lot No.
Site Plan Name: Block No.
Project Name: GARY DAVIS
Setbacks Front Back: Right Side: Left Side:
DETAILED0ESCRiPT1ON (?F 1NQRlC ry '
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INSTALL A 3.5 TON 13 EER FIRST COMPANY WATER SOURCE HEAT PUMP UNIT
491_ . y_
k TCOiSTOtUM
a+s itiona performed
work oe e orme un er is perms a ap
—c ec py:
HVAC 13 Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric � [l Plumbing ❑Sprinklers Generator � Roof
Total Sq. Ft of Construction: SCI. Ft.of First Floor:
Cost of Construction:$ 4350.00 Utilities:[]Sewer F]Septic Building Height:
OWNER/LESSEF : K
k CONTRACTOR. L
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Name_ r- Name: KEVIN M'SHARKEY
Address: /2�.f' less- Sr Company: SHARKEY AIR LLC
City:_ {iivo✓ .tfi?9 State;0.4, Address: 7862 SW ELLIPSE WAY
Zip Code: 01V_! 4 Fax: City: STUART State: FL
Phone No. ,_ Zip Code: 34997 Fax: 772-220-3787
E-Mail: Phone No. 772-220-2487
Fill in fee simple Title Holder on next page(if different E-Mail: INFO(@SHARKEYAIR.COM
from the Owner listed above) State or County License: CAC1816853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
JUN-11-2015(THU) 11 : 02 (FRX)220 3787 P. 002/006
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DESIGNER/ENGINEER: _„-- Not Applicable MORTGAGE COMPANY:..-_ Not Applicable
Name: —
iAddress: Address: - -
City: State: City: State:
Zip: Phone Zip:. phone-
FEE SiMPLE TITLE HOLDER: - Not Applicable BONDING COMPANY: _Not Applicable
Name:
_..- -._.... . . Name:
Address: Address:
City: City:
Zip: Phone: Zip:
OWNER/CONTRACTOR AFFIDVIT:Application Is,hereby made to obtain a permit to do the work and Installation as indicated.
I certify that no work or.Installation has commenced prior*to the Issuance of a permit.
5t.Luce Counttyy mak no representation that is grantln�a permit will authorize the permit holder to build the subject structure
which is In confllct with au applicable Home Owners Asloclatfon rules,bylaws or and covenants that may restrct or prohibit such
sre.tructuPlease 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 accordancewith the approved plans,the Florida Building Codes and 5t.Lucie County Amendments.
The following building permit applications are exempt rrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residentiai 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)obsite.
before the first inspection. if you_IcItend.to obtain financing,consult with lender o attorney before
commencing work or recordinKoulr Notice of Commencement.
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Signature oFOwner/Lessee gent Signature of Contracts /l.lcense er
STATE OF FLORIDA STATE OF FLORIDA
- -- .COUNTY OF� bX -`�"1_— COUNTY OF'M--'C-Ni^
The forging instru a t was acknowledged before me The forging Instrument was acknowledged before me
this, ay of - zoITby thIs�„1 lay of 2Oirby:
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(Name of person acknowledging) (Name o r person-acknowledging)
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(Sign ur otary Pu flc-State QF Florida) (Slgnat tart'Publi State of Florida)
Personal) Known sonally Known ,
Y �••••�•� KATE MADELIN Y 1 G! KATE MADEUN G71SGERI
Type of Identlflcatlon . "Cl: a of Identifiratfon '' MY C0INMIS510N#EE17B
Produced - MYCOMMISsior4*EE17 duced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VI:GET'ATION SEATURTI.E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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