HomeMy WebLinkAboutBuilding Permit Application Jun. 12. 2015 9:28AM No, 4611 P. 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ to- - Permit Number:
RECEPW
Building Permit Application
JUN 12 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
f.. F'kl
Address: 6147 Arlington Way
Legal Description: PORTOFINO SHORES(PB 43-6)LOT 167(OR 2122-2615)
Property Tax lD#: 1312-501-0102-000-4 Lot No.167
Site Plan Name: Glenn Levanti Block No.
Project Name: Glenn Levanti
Setbacks Front Back: Right Side: Left Side:
901
Rim
�r�r
HVAC Equipment Change Out; Make- Carrier;A/H Model: FB4CNP048L00; C/U Model:
CA16NA0480OG 7� j E&� LJ .Y J(-W .
Additional wor o Orme un er is permit—Ca appy:
f❑HVAC 11 Gas Tank OGas Piping _Shutters Windows/Doors
11 Electric Z Plumbing Sprinklers 01 Generator Roof
Total Sq.Ft of Construction, Sq.Ft.of First Floor:
Cost of Construction:$ 4866.68 Utilities: Sewer 0Septic Building Height:
WANNEWrLLw
Name Glenn Levant] Name: Donald Wayne O'Bryon
Address:6147 Arlington Way Company: Preferred AC&Mechanical, Inc.
City. Fort Pierce State:FL Address: 1643 Donna Road
Zip Code: 34951 Fax: City: West Palm Beach State:FL
Phone No.772-429-2734 Zip Code: 33409 Fax: 561-478-0089
E-Mail:glenllak@gmail.com Phone NO. 581-689-1093
Fill in fee simple'rdle Holder on next page(if different E-Mail: trlcla@pr®ferredacmech.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 required.
Jun. 12. 2015 11 :09AM No- 4613 P. 2
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N9 ..0H i
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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: 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 apermit 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.Lucle 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 fai re to Record a Notice of Commencement may resultin our paying twice for
improvements to our propee of Commencement must be recorded a posted on the jobsite
before the first- sp cion. If jm ,7b'e0n'lcto obtain financing,cons w h lender r attorney before
commencin ork o recordiNotice of Commencement.
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_Signature of Owner/ enf Signature ofCbritractoffir—iornsh Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palms—h COUNTY OF P-he---h
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of , 20 by thls10th day of 'une 20 ^by
Donald Wayne 04"A Donwd Wayne O'eryon
!(Na'meof pe o c e tng) (N a of perso ack w g)
j ..
(5ignathre of Y4oiiry Public-State of Florida) ig to of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of identif' d Type of Identification Produced _
"�,
TRiCIA Commission No.
Commission N ; y- j"PD
F - on EE 713546 ;o+oa�+tre�c± TRICI RADD
fvly Commission Expire �y �_ Commission#EE 713546
�� q .� Commission xpires
Revised 07/15/2014 - Duty 18, 2015
REVIEWS FRONT ZONING SUPERV150R PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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