HomeMy WebLinkAboutBuilding Permit Application 06/22/2015 MON 13: 24 FAX 0001/004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: •V �
RECEIVED
Building Permit Application JUN 2 2 2415
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
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Address: 5163 N. HWY AIA#118 , FORT PIERCE, FL•34949
Legal Description:
Property Tax ID#: 1411-708-0003-000-9 Lot No.
Site Plan Name: - Block No.
Project Name: OCEAN HARBOUR CONDOMINIUM D
Setbacks Front Back: Right Side: Left Side:
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A/C CHANGE OUT LIKE FOR LIKE EXACT SIZE REPLACEMENT, GOODMAN 2 TON STRAIGHT
COOL SPLIT SYSTEM, CONDENSER MODEL#GSX14024, AIR HANDLER MODEL#ASPT24B
W/5KW HEAT /4 S eer,
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Additional work to e e orme un er t is permit—c ec a appy:
R]HVAC Gas 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:$ 3395.00 Utilities: Sewer Septic Building Height:
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Name ROBERT APONTE Name: ROBER BROWN
Address:1 BLACK FOX TRAIL Company: SMITH SERVICES, INC.
City: BRICK State:NJ Address: 1306 29TH STREET
Zip Code: 08723 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@SM ITHSERVICES.ORG
from the Owner listed above) State or County License: CACI 816178
If value of construction is$2500 or more,a RECORDED Notice of commencement Is required.
06/22/2015 MON 13: 24 FAX 2002/004
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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 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,
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 first inspection. ff ou intend to obtain financing,consult- lender or an orney before
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commenciwork or rec our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA 4 STATE OF FL RIDA _
COUNTY COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this` a day of 20N�_bythi��day ofSu+1-_ ,20 \S'b.
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(Name of person acknowledging) (Name of person acknowledging)
(Signat e o otary Public-StaILKof Florida) (Signat e o otary Public-St to of Florida)
Personally Known ✓OR Produced Identification Personally Known e/—OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission Noyy QBOdto fission No b�3Gd(enJOYCErfe-!rw
4'"o MY COMMISSMON Y FF 0OOYCE MICHgUp.
MY COMMISSIO
r Bonded Thru kotary f u Undecwdtere .t�f Bonded ThrU uotaAp�l 25,2018
:y U*Undem ito
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS