HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 16,2015 Permit Number:
RECEIVED
Building Permit Application JUN 16 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 XXX
PERMIT APPLICATION FOR: Mechanical
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Address: 3208 Sunrise Boulevard, Ft. Pierce, FL 34953
Legal Description: Maravilla HTS BLK B BEG AT SW COR OF LOT 35•TH RUN NELY ON W L{OF LOT 35 13.12 FT,TH SWLY ON ELY OF
LOT 35 TO SE COR OF SD LOT,TH WLY ON S LI OF SO LOT 195.6 FT TOPOB AND W 1,70 FT OF LOT$36 AND 36 AND ALL LOTS 37 AND 39
Property Tax 1D#: 2428-601-0098-000-0 Lot No.35136137138139
Site Plan Name: Block No. B
Project Name: Schucker
Setbacks Front Back: Right Side: . _ Left Side:
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Change out existing A/C unit with: Goodman 3 ton-14 seer, HP, Package with 10kw heat kit
Model #GPH1436H41 Serial #1505082719
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Additionalworko orme under ispermit—1171111.111 appy:
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Tank []Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: - Sq• Ft of First Floor:
Cost of Construction:$ 4,500.00 utilities: Sewer Septic Building Height:
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Name Karl Schuckar Name: Shorriod 0 Watson
Address:3208 Sunrise Boulevard Company:ProMag Energy Group A/C and Heating, Inc.
City. Ft.Piorce State: FL Address: 4205 1/2 Metzger Road
Zip Code: 34982 Fax: City: Ft. Pierce State'FL
Phone No.772-461-2066 Zip Code: 34947 Fax: 772-252-4831
E-Mail: Phone No. 772-4673227
Fill in fee simple Title Holder on next page(if different E-Mail: lisel@promagenorgygroup.aom
from the Owner listed above) State or County License: CMCA 48033
if value of construction is$2500 or more,a RECORDED Notice of Commencement is 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: xxx 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
CoLin 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,
accessary 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.
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Signature of Owner/Lessee/Agent ignat ire 61'Conor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_'it.L.11al. COUNTY OF L.4d.
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this IZA day of &LAAN __' 2OK—Ily thist5 day of June 20 by
UU_L0Lila Wide Lawronce
(Name of person a A(Namcofp
e L
LISA MARIE LAWRENCE V P'� 08'A MARIE LAWRENCE
a of Florida
Notary Public-stale of Florida 21�, 0 ry Public-State of Florida
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dWiras Mar 11.2017 ITIR% PAppyarI1.2017
(Slinature of Not PgtW. 6tja (Signature 1;'1
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Personally Known XiCkv OR Produced Identification Personally Known xxx OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission Noeecgg&454� (Seal) Commission No. F-EMMAlz (Seal)
Revised 07/15/2014
7
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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