HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/16/2015 Permit Number:
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: 801 olive st
- Legal Description: WHITE CITY PLAZA BLK A LOTS a AND_4_(0.28 AC) (OR 296-28:3205-2553:.3205-2556)_
Property Tax ID#: 3410-602-0003-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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REPLACE AIR CONDITONING EQUIPMENT. 16 SEER 3.5 TON 10 KW HEAT
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CONSTRUCTtC INFORMAT
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Additional work toa er orme under this permit—check a t appy:
HVAC Ei Gas Tank []Gas Piping _Shutters ❑Windows/Doors.
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 3880 Utilities:cnSewer Septic Building Height:
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Name KEITH A ROSENBAUM Name: 'A/C DOCTORS INC
Address:801 OLIVE ST Company:
City: FORT PIERCE State:fl Address: PO BOX 1527
.Zip Code: 34982 Fax: City: JENSEN BEACH State:FL
Phone No.7728288024' 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.
StJPPLEMEN L CO�ISTRUCTIN LIEN LAW INFORittAT101�\� \\\ \`
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: 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 thepermit 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,'[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 furl 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 in end to obtain financing, consult with lender or an attorney before
commencing work r ordin r Notice of Commencement.
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1 6,& ner/Less,a/Agent Signatu e o n a' cense Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF , �04
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The for ing instr ment as acknowledged before me The for a' g instr me t was acknowledged fore me
thi�day of 20f by this ay of 20 by
no
(N of person acknowledging) (Name of person acknowle ging)
(Signature of Notary Public- ate of Flo ' ) (Sign ure of Notary Publ' -State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal).- Commission No. (Seal)
DAWN MILONE ,a`a'�'q/� DAWNDEE
°`P ��ss fl J` -?°*. �`rc .Notary Public Revised 07/15/2014 ri Notary Public-state of Flgida ;: •=M Comm.Ex ares Ma ='+� + •�My.Comm.Exp , .Co mission EE 877 7.1; ` +r �a':. Commissiy.,F ° . .REVIEWS FRONT Ol"�I�VC�andedTi�Bil¢hH�Il1�89(�ft'a :Assn. . NS VEGETA I .I�"'"`'S'EA r�h@ughN ;: ;;
COUNTER ' ; REVIE1111- --REV1E� ° - E1E REVIE
DATE -
COMPLETE
INITIALS