HomeMy WebLinkAboutBuilding Permit Application Jun, 25, 2015 7:58AM No, 4675 P. 2/5
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) /�
Date: G S Permit Number: 1 �'7
49
Building permit Application
RECEIVE
Planning and Development Services JUN 2 5 .2015
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: $612 Cassia Drive
Legal Description: INDIAN RIVER ESTATES-UNIT-09-BLK 79 LOT 1 (MAP 34/12N)(OR 3418-2037)
Property Tax ID#: 8402-610-0266-000-8 Lot No.1
Site Plan Name: Russell Schroeder Block No. 78
Project Name: Russell Schroeder
Setbacks Front Back: Right Side: Left Side:
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HVAC Equipment Change Out on a 3.5 ton 16 seer Carrier AC System with a 8 kw heater.
A/H Model. FV4CN(l3,F)005L00
C/U Model: CA14NA042-A
31.80 fill
lilt,
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«AWITIOnalworKTODe erforme un er ispermft—c ec a appy: 1 - ,I.u�s"`' n•:"Y `!'
ZHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric Q Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4647.50 Utilitles:LSewer Septic Building Height:
70ty,
�tF d f 1•.Name: Donald WO'Bryon
Company: Preferred Air Conditioning&Mechanical, Inc.
Address: 1643 Donna Road
zip Code: 34982 Fax: west Palm Beach State:FL
Phone No.772-285-8448 zip Code: 33409 Fax: 561-478-0089
E-Mail:dysonq@yahoo.com Phone No. 561-689-1093
Fill In fee simple Title Holder on next page(if different E-Mail: tricia(Mpreferredacmech,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, 25. 2015 7:59AM No. 4615 P. 3/5
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DESIGNER/ENGINEER: r 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: x 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 permlt 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 firs ection. If intend to obtain financing, consult with I r or an att ey before
commencin ark r recor our Notice of Commencement. /
s
_Signatureof Owner/-Lessee/Agent Signature of or Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The or oing instrument was knowled a efore me The forgoing instrument was acknowledgere me
this . qday of 20\' by this251' day of J°"° ZO by
Darold W D'ary4 MA9ant ooneld w • ryon
(N a of perso wle ging (Name p son ac noedging
f
l
(Sig at a of Notdry Public-State of Florida} (S \at, of otary Pub' State o lorl
ersonall Known x OR Produced Identification Perso Ily K wrl x OR Produced Identification
Ty dentlfication Produced Type of I entiflcation Produced
Commission No, ”: (SeIRICIA RADD mmission No. (Seat
�* °= Commission#�E 113546 `p.ar.,,+
a: *' TRICIA RADD
- - M Commission Cxpires �.�a.a,o�,i
July 18, 2015
My Commission Expire
' Revised 07/15I2014 —���.`•'-„�—�'�� _� y..�_�«�-�~ �:y��o.��;=�'
July 18, 2015
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS