HomeMy WebLinkAboutBuilding Permit Application 06/17/2015 WED 13: 15 FAX 2001/005
ALL APPLICABLE FO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (0 � � Permit Number: I� vi�gv�Ll
Building Permit Application
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
Address: 9400 S.OCEAN DR.#1003
Legal Description:
Property Tax ID#: 3535-702-0074-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
i ` �'. 1�5-ice, °_,.x"•�,= '7, s t r .rF^ ✓a.1�nbs
04"
op
-
A/C CHANGE OUT LIKE FOR LIKE, EXACT SIZE REPLACEMENT. 2.5 TON LENNOX
STRAIGHT COOL SPLIT SYSTEM. CONDENSER MODEL# 14ACXS030, A/H MODEL#
CBX25UH-030 W/7.5KW HEATMENEM
Additional work to be nerformed under this permit—cec a appy:
ZHVAC Gas Tank ❑Gas Piping 0 Shutters Windows/Doors
11 Electric Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. Ft,of First Floor:
Cost of Construction:$ 4654 Utilities: Sewer Eheptic Building Height:
4 01
Name JULES CROTEAU Name: ROBERT BROWN
Address:839 EDGEBROOK LN. Company: SMITH SERVICES, INC.
City: WEST PALM BEACH State:FL Address: 1306 29TH STREET
Zip Code: 33411 Fax: _ City: VERO BEACH State:FL
Phone No. Zip Code: 32960 Fax: 7722994994
E-Mail: Phone No. 8665928268
Fill in fee simple Title Holder on next page(if different E-Mail: FRANCES_BROWN@SMITHSERVICES.ORG
from the Owner listed above) State or County License: CAC1816178
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
06/17/2015 WED 13: 18 FAX 2002/005
DESIGNER/ENGINEER: _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: 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 thepermit 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,
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 irst inspection. If you intend to obtain financing, cowith lender or an attorney before
comrrpenci work oryge' din our Notice of Commence t.
ryas �_.. s
_Signature of Owner/Lessee/Agent �natureof Contractor/License Holder
STATE OF FLORIDA \�c STATE OF FLORIDA
COUNTY OF _�1` 44s\ COUNTY OF'�,,�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '0-day of lung 20 Eby this 19 day of :NU y\Q 20\C, by
(.Name of person acknowledging) (Name of person acknowledging)
(Signt re 4 Notary Public-Stat of Florida) (Signa a Notary Public-St a of Florida)
Personally Known '®R Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NS f moo " �" JOYCE MICHAU Com ssion No. .•�rJ"
�) E MICHAUD
MY COMMISSION 8 FF 83008 ?rr MY COMMISSION FF OLl?,?,
$? EXPIAES:April 25, 018 n,
Bonded Thru Notary Publ'r U,j1er,•r
Revised 07/15/2014y
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS