HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:,Q7/06/2015 Permit'Number:, 5(11
M-0 7 a:. �." �' RECEIVED JUL 0 6101
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 YES
PERMIT APPLICATION FOR: Mechanical
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Address: 459 SE SANDIA DR
Legal Description: RIVER PARK-UNIT 5-BLK 48 LOT 23(MAP 34/28S)(OR 3179-1850)
Property Tax ID#: 3419-540-0196-000-4 Lot No.
-Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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�R1PrrTION
REPLACE AIR CONDITONING EQUIPMENT. 16 SEER 3.5 TON 10 KW HEAT
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Additional work lobe pertormed uncle t is permit–check all appy:
✓❑—HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 'Sq. Ft.of First Floor:
Cost of Construction:$ 3880 Utilities, Sewer Septic Building Height:
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Name DONNA PARKER Name: A/C DOCTORS INC
Address.459 SE SANDIA DR; t' Company.
City: PORT SAINT LUCIE State:fl Address: PO BOX 1527
Zip Code: 34982 -'Fax: City: J�NSEN BEACH State:FL
Phone No.7723443955 Zip Code: 34957 Fax: 7726075700
E-Mail: Phone No. 7723443944
Fill in fee simple Title Holder on next page(if different E-Mail:.ACDOCTORSINC@GMAIL.COM
from the Owner listed above) State or County License: CAC058461
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: —State:
Zip: Phone: Zi I p: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx 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 undergoirig 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. If you intend to obtain financing, consult with lender or an attorney before
commencing vyork 9EoVordingyfnr Notice of Commencement.
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Signature of Owe/Agent Signature of C actor/bterrs—e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me. The forgoing instrument Was acknowledged before me
this 111 day of \3 V 20\5 by this � day of 1JJ 1 y 20 I5 by
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(Name of person acknowledging) �,Name of person acknowledging
(Signature of Notary?ub�k-State of gnature of Notary PubIM-State of Florida
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Pub ,ale of Florida )ida twe 011,0" "rsonally Known
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Type of Identification P clud"' ou _vr�l 'S ype of Identificationa
MV Notary Public-State ol Fiorilaa
tkalall As' 4 MYCOTSbgryires Dec i6,2016
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Commission No. (ZZZ"S. mmission No.
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Commission#EE 858761
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Bonded Through National Notary Assn.
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW . REVIEW REVIEW REVIEW
DATE
COMPLETE