HomeMy WebLinkAboutBuilding Permit Application i
i
I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION O BE ACCEPTED
Date: July 512015 I Permit Number: 15-D1 —o I
I �
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia A0,,enue,Fort Pi(rrif FL 34982
Phone;(772)462-1553 Fax: (772)462-1578 CommerciaI l Residential xxx
PERMIT APPLICATION FOR: Mechanical
I
.A:n 1.r i,,,.Li/x.FL.�Y.v\J,.-�m,.L��,.J.L_�t1.!/y.IE'.�.yu:.I�W.....r...'.M.y�.y,...'�4.IY.,rY'(17.u.n..h1�i-rv{�,+.ni.�.Y,.y1qiv"uYnr'p�Own�wuw•rIu�jMw..L}n'n�.nu..�.,r..I..�.l��,u.u�...,„...i.:.'.w�t...i...l,..�...n L.��:.-..I•_..-o...,.....r,.J .1M N.,...J�r,_f....1.n a.l.1[..1....I,..,.{...-L.,..+.e_LL1...,.,...E1..1I."_�v:::�F•.irrt.::-u.:..v:�..;r:1..:.1•.•:1.:.o6.:.1.!.t•.n::,.:LJ::._,:;_b..._,a-';..�.-^.:.Ll•1.1:.::n.......:.1.:.,.r(It:.,n,..1.:,..:i..va.....a:;+..i..i�i..Ll:,.._L......,.;I...I.....I..r......._ra�.s.'1.::1.'.1:1i�.i�...�.lSn...i.�....JT1.�,�.:1.l.(,i..�r�,r�ri•d�-L,.�l.':.'��.'ia.�1.f�._iI�L_11;lIed:1:fi:7IiiW.:.I�1.;1Ll:::�f:fr!iel.:r.a'7^�!�:..ai�ly.:�,.L�.ta.._..:.i:.l-.".-.W.I:�t[.:d�.-;�:�ri•lPoi.r:_:.!JI.;L.�,I”l::I:_i..tl:s�.i.6r.1�S1.r:d�,iJ
'.rL•.1._,:'
1.e..;�.
11•
.°I.!..rMd.m�.
l•:,e..riI.;h7..
, 1� . _
a.
•••.••'•••••••••••' ••••,•ri. .':r ,1�...��..,;,'..a�„�� .'::
Address: 5608 Travelers Way j
Legal Description: Palm Grove$10 BI.K A l01°2(0,1$AC)(OR$6611-914;3656-2438)
- i
Property Tax ID#: 3410.503-0013-000-6 j _ Lot No.2
i
Site Plan Name: I Block No. A
Project Name: Burdett
Setbacks Front. - Back: Right Side:_ Left Side:
i
............._......_....�..�.,....n:•�..rl r. � w�.nn , I.:...__.__.....L...,.r,w..�.,'11L,i;J'L°Yl':^:":!::N;..�.,.>.i.i,..:'Y_°"._:V1!:!i.,.lY�,.iui.,_n��uw.��.i I hr.,�.r _
..:.:'.1 .. W.I.!
l.910
.� .......,. � .7. I...,r11P1:17!:M'!'.:"11:L9Y..yr!r,..mW. n a..:d..�_ +;n.L:' �!u[,•�.,�u r.:.u.�
r.I. 1. �r1.::.1.,�m..!r2al.e.A,.m_A,�.;.;._w,m_...-.,.;,.I.;41.�r.1�-i.�r�r,r-!•.I.fr.{.�,�r�.�..�,•��.�.,.,.,,��.�,:, •�,n,:_�e..,�..�::
..u7.0. .61 1 .iKm.,.. ..X...�..L�.,......L�L-�-�I�f..,.4... ...L
1 h 1r......•.i.l................... -
1�, .j(y..)''•�,l..[y.,.��yy��.. t ...I...SI.C........J.......__......�,�..�...- �.�� 1�.'��'�L:ri:f:,.l:".:`ll........,.t,•::::9:!:I.;.q.;.;!,�5�::::. ti:-'J4'' ��C`'i'L..r�rI1NV�4m'111!..ir�_�;
.Y;\P'01 W.I.! _\' ..._,IT;
•.w..•i ,. i.. �°.-ia.,i-.,- ..,l..l...u..L........ it V-.:':_.,..... GI:'iL,`i
..�.o.I.. r.{'•R51..i...PP 1 fl.7.N......._.._. .• .,............i...,.i,""' ....n
......_............1..}..•1.,"JJ,,,•i.•:wta•n,.....,i.i.•................:'�..._...-_-..............i.ii-..._.°�,,.. ..,I.,�.:
Change out existing A/C unit: Rheem 2.5 ton - 15 seer, HP, Split s �W
Condenser M#15PJL30AO1 S#W471450756
Air Handler M#RHLL-HM3617JA S#301402813 '
..:.u,,,.......,�.a.,.a ....:........................................._... ...._._...... �... ...�.. .:i:,ib'r'••:•e„:r i:ll:l": INA
RM
X1...11:'•S!":':II::L".::':'.'.:I.,j.....;..,....p._..,..�...-�r .l,.s..,ivm......,.l.r,,...,lwi..::��°.�.:.0_.:a•t�. _ .. TLII_..11..•.J.:::'::%'•..•:•:_.;...,;•..........._.;......•
1 .�.. I .. L _11.1!...L................_..... .,. ..... ,�..�l Ir. ,,. n..L-.�-�.....Z, ,_,.._.._...,.__.
.L.Ca!Ilall..;LJ[Iw 9,4'Y,k i...._1..i..,,..i.......r..... n L 1 v,•r,:::v ...,1,1..;_.:..:........x. .1.-
,. .. 4671,9 L.,21'.I SV�:n^:Fr.[}.,i1..F�y:,S{.1.;;.;;rn...�...:,I. .I:.:r1::rci .2
Ji
. .-..•:. _. ,.. n .:' :• s'. .1 :r-.::. :�Ir:-::::e:•:5'T '�fl,••41ia7Mir71g1AI IIJ91a1:1:,I:Sr:'.r..Lt..I
:L'.LII.ae,.Inl.,..Ill.zl. r::...........:...:..::•::...+•:::.••
...ti'I�.S:w .......... ., .... ,. ......�................... ...... ......�'.........�,�..,.,n.....r...:�,�;,�.. i•!:.�'::�!::'�•:::::,:il:;-„r-. i:`I'.'ii?-�'!�� ri�i'.,s` •+r1 •le•.,d;•��i:'i:"•i
,.......,......_._... ..._..r ...,._ ...,..,.u,s.w.'.rl.'...,.•.r.,i..i..i.../.......i.l�..._I_I_._.,._........ti.........i.i....b-....�..V......11...l.sill.il.l.,r.l�,ll......................r.i,.1r.1:........:::�!'!::�....... ..,..��..�..�.� (Y�w14�W4iw.�ei��W�:-'�rlwwrw•wr•• S::.Ili
Acid{t{ona I worR tone nartormedunder this permit-c ec a11 apply:
✓HVAC Gas Tank E]Gas Piping I Shutters Windows/Doors
Electric PlumbingSprinklers Generator Roof
Total Sq, Ft of Construction: S . Ftl of First Floor:
Cost of Construction:$ 5,300.00 Utilities: Sewer Septic Building Height:
I
- _ _1'•:K'IJ P._.._,_�,I�.!,�_.,.�q:....,y.. ...,.fwd - - -
........ ... ..:`.. ......�+i..... ,....,.,...,._'r,•:,-�' 1"I'AJ�rf SII'1"' W l.. ,i 1i_.,r:.�:a:1 a
.In, `j ���}}'},• „f•r_f •m-+JII:: a .9r_�rs��u�L.,r:acT.�.fcSl_ ..}4.r 1_ 1,1��.{ - - '; ,•:'•.'
.. . .. . '.....f'' .W..:Y:'.1•.................... .........:•• ..r.,f:...... 'r.A•"i:i:'iti�i�...011!�': ......1,���.
at. ' J '�.'�IXe,.. ...J:.�„.,.L..,.11.11...Y....._......C._....-.•1....��.........+......al,,..mrra.r.aa.,....l +:. ;;. O it..1rp��•a,�.v 7.: '';,;01111 - ',II!:;1_{:'h. _
................. . �. .,L�.:,:.::..•:::ia::�
.Lr..,.s....I,............'TY.;;._.._.........��_+.y_._.._v._...... .. ... � ...,.�. ...t......-..,.�..'...... ...�.......,..� ...�:�._-..a,:.... I..Id:.:.;..a..�.....��3:'I:::��:'rail!,:li�;i:ll::��i:::l::{;:!:Idi:l:e'i�
16hIrr.J.........I_...,,.,L.V.^�...r_a�.�..,........-�"!.�...._. ........
......-. .�.-.,..-.......-.-.®.a.,.w..a.�v:e;+J1.w.w.rl..dr'r;+w..l.•+.ww�+"-..�..,...w....-+w.»,.....a..
Name Sue 8,Thepdore Burdett Name_ Sh(.rrif)a Q Wr,tSon
Address:5608 Travelers Way Company: ProMag Energy Group
City: Ft.Pierce State:FL Address: 4205 112 Metzger Road
Zip Code: 34982 Fax:- City: Ft. Pierce State:FL
Phone No.772-882-9696 Zip Code: 34947 Fax: 772252-4831
Pho i e No. 772.467-3227
Fill in fee simple Title Holder on next page(if different E-Mail: lisnl@promagcncrgygroup+cam
from the Owner listed above) State or County License: CMCA 4$033
If value of construction is$2500 or more,a RECORDED Notice of Commi ncement'is required.
12/L4
11000/C00oln 7maNa DvHoud 9Z9CL969LL+ YVd KV TC:6 9TOZ/60/LO
wm
"i.
...........-----------
DESIGNEVE" NG.INEEFt', x Not Applicable MORTGAGE COMPANY: XXX Not Applicable
Name: Name:
Address: Address:
City: State: city: state:
Zip: Phone: Zip: I Phone:
FEE SIMPLE TITLE HOLDER: XXX Not Applicable BONDING COMPANY: Not Applicable
Name. Name:.
Address: Address:
City: city: I
Zip: Phone: Zip. I 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 cQnflict,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.lLvcie County Amendment--.
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 Commencementl 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
commm
.sing work or recor 'ng your Notice of Commencement.
I
d S
Signature of Owher/Lessee/Agent Sigriat0re of Contractor/License Holder
I
STATE OF FLORIDA STATE Ur FLORIDA
COUNTY OF COUNTY OF s,.LUC30
Thefqrgoday of 20 JS.by
ing inst, t was acknowledged before me The r�goinginstrurrierit.w,�i.-,;,,icknowledged before me
this
M !his . I day Of 20 by
Lima Mono 1.mwnnt9 Ulm Mado Lawronce
(Name of person acknowledging) (Narnelof person acknowledging)
Notary
"e
(Signature of Notary'ftblic-State of Florida) (Signa I ture o of Florida
Personally Known:XXx OR Produced l(L(-ntLfiCati9'n Personally Known Kxx OR Produced identification
15uu
Typo,of I'dentiric-, ---
S"ARiE LAW Type off Identification
Ilr
Notary Publ St;tc of Florida y Nat
NC Notary R 1 $1d1 f Florida
Commission No, Commission No. EE 8 '103400
Y.COMM*giom Mat 11.2017 'my COM Mat 11.2017
Commission 0 EE 882542 COMMISSIon#EE 862542
h NmIlanal No-!---,-
Rcvise,dC)7/11�1727
REVIEWS FRONT ZONING SUPERVISOR PILAN� VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
v000/r000 In ADHaNEI DVNOHCI 9ZZ9L9V%L+ YVa KV ZV:6 2TOZ/60/LO