HomeMy WebLinkAboutBuilding Permit Application JUN-17-2015(WED) 09: 1a (FAX)220 3787 P. 002/004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6117115 Permit Number. � 5 0 G
•
Building Permit Application
Planning and DauelopmenrServlces
Building and Code Regulatlan Division
2300 ft1nla Avenue,Fort pierce FL 34982
Phone:(772)462-7553 Fax:(772)462-7.578 Commercial � Residential ./
PERMIT APPLICATION FOR: rTr�o Select fromt dropbogx,.click arrow at p�tljfryhe end
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Address: 116 S1E SELVA CT
Legal Description: RIVER PARK-UNIT 7-BLK 62 LOT 15(MAP 341285)(OR 3899-2646)
PropertyTax ID#: - 3419-550-0011-QQQ,5 Lot No. 15
Site Plan Name: Block No. 62
Project Name: MALOY
Setbacks Front Back:_Right Side: Left Side:
, P;It` , A�iEutt, 11°I " I;WNW 124 It ��;� ti � ;III n � ;IIIIIRlll�lllf 11� 1llll �l �l
INSTALL A 3 TON 16 SEER RHEEM SPLIT SYSTEM 1 OKW HEAT
VERTICAL IN CLOSET
n�°GI+{ 11 Nle► " �;�!!E&,011,111
i Ona woro e e orme underthis permit-check all 113at appy:
HVAC Gas Tank ❑Gas Piping 11_Shutters Windows/Doors
Electric Plumbing ❑Sprinklers ❑Generator DRoof
Total Sq.Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ 5145.00 UtIlities: Sewer[]Septic Building Height:
Name Christopher EJMmprJChar1g1y Mallp Name: KEVIN M SHAFtKEY
Address: 11 F ;F RFI vA r.T Company: SHARKEY AIR LLC
City:FORT ST LUCIE State-.. Address: 7862 SW ELLIPSE WAY
Zip Code:��S Fax: City: STUART State.-EL-
Phone No. 7".-!'n4-4052 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: INFC)(c_SHARKEYAIR.CQM
from the Owner listed above) State or County License: CAC1816853
if value of Construction is$Zoo or more,a RECORDED Notice of Commencement is required.
JUN-17-2015(WEO) 09: 14 (FRX)220 3787 P. 003/004
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DESIGNS= ENGINEER: -Z Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: -._.. Address:
City State: City State.
Zip: Phone:_ Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ,r 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.Lucle County makes no representation that is granting a fermlt will authorize the permit holderto build the subject structure
which is In con lct with any applicable Home Owners Assoc ation 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 addltlons,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-resldential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.kNotice of Commencement must be recorded and posted on the jobsite
before the first inspection. if yX21'rotice
to obtain financing,consult with lender or an a ey before
commend work or recordin of Commencement. Zn
s
_ gnature of Owne ess /A nt Si ture of Contractor*eHlder
rso
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF (�(Ig71N COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of JANE 20 �,by this76THdayof JUNE .20 95 by
KEVIN MSHA KEY KEVIN M SHARKEY _
(Name of person ackn wledging) (Name of pena nowledging)
(signature of N Ic-State of Florida) (Signature a o Ic-State of Florida)
Personally Known��OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of identification Produced
Commission No. EE179960 se MADEwNE vnte isslon No. EE'I799 , .•• EUNB vylEdr 1N
'IV �'= MY COMMISSION If E 17989Q '= MY COMMMON#EG1789F!
' plorM�p serwao•m�+
01.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE:
COUNTER REVIEW REVIEW REVIEW REViEW REVIEW REVIEW
DACE
COMPLETE
INITIALS