HomeMy WebLinkAboutBuilding Permit Application Date:y- Permit Number: /50S - 0033
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WERAIM
N — Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F4 34982
Phone:(772)462-1553 Fax: (772)462-1578 Cornmercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address. 7702 San Carlos Or
Legal Description, LAK�VVOOD PARK-UNIT 3-BLK 19 LOTI 3(MAP 13/14N) (OR 3754-839)
Property Tax ID#• 1301-603-0075-000-4 Lot No.
Site Plan Name: Calvin Hodge Block No.
Project Name: Calvin Hodge
Setbacks Front Back: Right Side:_Left Side:
installing 2.5 ton ac system 16 seer with 7 kw electric heat
like for like
17,0— .1 ON
In............
3 heck all apply;Shutters Windows/Doors;
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3688,00 Utilities: []Sewer E]Septic Building Height:
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Phone No,772-882-1977
Zip Code: 34946 Fax: 772-461-8722
E-Mail: Phone No. 772-461-8711
Fill in fee simple Title Holder.an next page if different E-Mail: shannagrimesac@aol.com
from the Owner listed above) State or County License: 4426
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
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DESIGNERJENGINEER:1J y x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State' _ City: State:,
Zip: Phone' Zip: Phone:
FEE SIMPLir TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Si ature of Owner/Lessee/Agent Si ature of Contractor/License Holder
STATE OF FLORIDArC: /L ,e COUNTY FLORIDA h- /
COUNTY OF � G Lll
The for ing instrur�pt was ac nowledgedAefore me The forgoing instrument was acknowledged b ore me
this day of L [ 20/y.,�bY this day of 20 by
cot
(Name of person acknowledging) (Name of person acknowledging)
I 4- A#10-4A
( ' nature of Notary Public-State of Florida) (Si azure of Notary Public-State of Florida)
Personally Known ''�OR Produced Identification — Personally Known OR Produced Identification
Type of identification P,� .Type of Identifica '
•;;"P'••,
SANDRA HOHMANN
, y p� � SANDRA HOHMANN �;F; Y ;•;
Commission No. ' NotalReale-State of Florida Commission No. Notary Pub11<$ 0
of Florida
.•: :•C My Comm,Expires Mar 14,2018 MY Comm.Expires Mar 74,2018
commission#FF 071680
Bonded Itupuph Natlonal Notary Aastt
,m,n•
Revised 07/15/201'4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIM REVIEW REVIEW
DATE
COMPLETE