HomeMy WebLinkAboutBuilding Permit Application JUL-15-2015(WED) 10; 06 (FAX)220 3787 P. 001/005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c,
Date:.7/15/15 Permit Number.,St
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
91
2300 Virginia Avenue,Forr Pierce PL 34983
Phone:(772)462-1553 Fax:(772)14621578 Commercial Residential ,r
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address:
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Legal Description:
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26510.02 ACI(ICA)JOR=.10D'B)
Property Tax ID#:,_,,=6.411.0002.000.3 6.411.0002.000. Lot No.
Site Plan Name: _ Block No.
Project Name: FREDDIE MAG
Setbacks Front Back;_Right Side: Left Side:
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INSTALL A 3.5 TON 15 SEER GOODMAN SPLIT SYSTEM 10KW HEAT
HORIZONTAL IN ATTIC
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( lona war o e orme uncler trils perm( —cneck all appy:
12HVAC 12Gas Tank E]Gas Piping _Shutters a Windows/Doors
11 Electric F,_1 Plumbing []Sprinklers12Generator D Roof
Total Sq.Ft of Construction: S .Ft.of First Floor.
Cost of Construction:$ 3950.00 Utilitles: Sewer OSeptic Building Height:,,_
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Name FEDERAL HOME LOAN._MO.R_T_GAGE QORP Name: KEVIN M SHARKEY
Address:5000 PLANO PKWY Company: SHARKEY AiR LLC
City: CAR-R-OLLTON State:TX Address: 7862 SW ELLIPSE WAY
Zip Code: 7$j1,1,D_ Fax: City: STUART State..-EL—
Phone No. rr2..R1 8.594.4 Zip Code:_34997 _ Fax: 772220-3787
E-Mail: Phone No. 772-220-2487
Fill in fee simple Title Holder on next page(If different E-Mail: INFO(WSHARKEYAiR.COM
from the Owner listed above) State or County License: CAC1816853
if value of construction Is$2500 or more,a RECORDED Notice ocement is required.
be l/ y
JUL-15-2015(WEO) 10; 06 (FAX)220 3787 P. 002/005
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DESIGNS ENGINEER: Not Applicable MORTGAG9 COMPANY: %40 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.
51
.Lucle County mak no representation that is granting a ermlt will authorize the permit holder to build the subject structure
which Is in conflict wits an�applicable Homeowners Assoel�tion 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 permlt applications are exempt from undergoing a full concurrency review:room additions,
accessary 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 Not of Commencement must be recorded an sted on the jobsite
before the first inspection. If you int d in financing,consult with lender or n a ney before
trommencin work or recordingou No of Commencement.
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Signature o Owner/Lessee—Meent sl0lature of 6__n_tnctor/tT&nse Holo6r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OF MARTIN
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
thlsay of JUNE 20 _,by thisl5THday of_JUNI= .20 15 by
KEVIN ib1 SHARKEY KEVIN M SHARKEY
(Name of person knowled frig) (Name of pens n a nowledgin }
(5lgnatur7Knwn
ry Public-State of Florida) (Signatur otary Public-State of Florida)
PersonallOR Produced Identification Personally Known 4/ OR Produced identification
Type of Identification Produced Type of identification Produced
Commission No. EE179960 a tTH MADELINE wn>: Fa ission No. EE17'996 ,,,....:, EL1NE wIEGSRIN
MY COMMISSION S E 179990
-EXPIRES A01 14. y6 MY COMMISSION ti EEt7998
I�t171SOG.U7�1 PIorM�Nodt Bmweo.oem �''•,�!...•••
Revised 07/15/201 aan7lst�a�oa FiarldalloO� s�.�
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