HomeMy WebLinkAboutBuilding Permit Application 07%16/2015 THU 10:45. FAX LD002/004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: SDI (O's. 11
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 X
PERMIT APPLICATION FOR: Mechanical
Address: 3150 N. HWY AIA#701 N, FORT PIERCE, FL 34949
Legal Description: TIARA TOWERS UNIT 701-N
Property Tax I#: 1425-610-0029-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
A/C CHANGE OUT LIKE FOR LIKE EXACT SIZE REPLACEMENT. CARRIER 3.5 TON WATER
SOURCE HEAT PUMP MODEL#50PCV042LCN3ACC1
Eklm
clitional work toe i3prformed under t is permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑Plumbing Sprinklers 11 Generator F Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4985.00 Utilities:Sewer O Septic Building Height:
Name RAY HETTCHE Name: ROBERT BROWN
Address:3150 N. HWY A1A#701 N Company: SMITH SERVICES, INC.
City: FORT PIERCE State:FL Address: 1306 29TH STREET
Zip Code: 34949 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32960 Fax: 7722994994
E-Mail: Phone No. 866-592-8268
Fill in fee simple Title Holder on next page(if different E-Mail: FRANC ES_BROWN@SMITHSERVICES.ORG
from the Owner listed above) State or County License: CAC1816178
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
07/16/2015 THU 10: 46 FAX 2003/004
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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. If you intend to obtain financing,cons t with lender or an attorney before
comrrj&13:ing workpry6cording your Notice of Commenceme .
_
s
_Signature of Owner/Lessee/Agent Signa ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORI A S�
COUNTY OF ����kh ��2tL COUNTY OF �•INu� pkv^e�"
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of \� 20 «by this)U day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signa ure Notary Public-State of Florida) (Signatu of tart'Public-State of Florida)
Personally Known L---' OR Produced Identification Personally Known�/bR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) ommission No.li3( Seal
JOYCE MICHAUD ;g"''Y ri'y'' JOYCE MlCHAUD
1w-
EXPIRES:April 25,2018EXPIRES:April 25,2018
Revised 07/15/2014
Bonded Thru Notary Public Underwriters %'RRF�F` BondedThruNotaryPubliicUnderwrit m
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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