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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: August',2015• Permit Number: RELE11.7-D AIJG 0 ( 2015 w Building Permit Application Planning and De�velopmeAt Services Building and Code Regulation D/vlslon 2300 Virginia A enue,Forl'Plerce FL 34982 Phone:(772)4 2-1553 Fax:(772)462-1578 Commercial Residential XXX ERMIT APPLICATION FOR: Mechanical _ `[: ,PROVEMf:N7�;0:Ci4Tl17N:• :l,`,'!•;.::,.• ;:;y.••. •� •.::•:• ddress: 3351 T} in Lakes Terrace #105 egal Descriptio : Lakeshore Village of Meadowood-Phase I BLDG 3008 Unit 105(OR 3749-731) roperty Tax ID 4. 1327-704-0089-000�S Lot No. Site Plan Name: Block No. roject Name: F eman etbacks Fron Back, Right Side: Left'Side: 77 hange out existing A/C unit: Rheem 3 ton 15 seer, HP, $plit System w/ D kw Heat Condenser: hl#15PJL3601 $#W361426401 Jr Handler: #RHLL-HM3617JA136 S#W011403347 4",clat-t-10-nalworico Orme under this permit.--c ec a appy: Z✓HVAC 0 Gas Tank ❑Cas Piping _shutters o windows/Doors Ll Electric 0 Plumbing ❑Sprinklers a Generator 11 Roof T II tal Sq.Ft of Co I struction: Sq.Ft.of First Floor: Cbst of Construct on:$ 5,000.00 Utilities: Sewer Septic Building Height: :.: :.•A. Ic. Nime Jerry Freeman ""'• .'r.;;,;: Name: Sherrled O Watson A dress:3351 7w n Lakes Terrace#105 Company: ProMag Energy Group CI V: Ft.Pierce _ _ State:FL 49Address•• 4205!11'2 Metzger Road Z p Code: 351 _ Fax:_ _ City. Ft.Pierce _State:FL P one No,561-77 -0999 Zip Code: 34947 -Fax: 772-2524831 E Mail• Phone No. 772-467-3227 R I in fee simple title Holder on next page{if different E-Mail: lisai@promagenergygroup.com fr,I m the Owner listed above) State or County License: LMCA 48033 If value of constru Ion is$2500 or more,a RECORDED Notice of Commencement is required. ir00LD2aNa DVNOHd 99ZCL9V%L+ XVa NJRZ:ZT STOZ/LO/80 i I,. ..A v t i, •Y. "4 '1. 5.. •'+t "�h•. ...1'`;. 'I�.'w'l.i'.�'ti'i:•."...:.�...�.�. •t.•i: .i?. La►vtit,,iR: c .�iiriYl. . bEsIGNERZ EN (NEER: xxx_Not Applicable MORTGAGE COMPANY: Not Applicablie Name: __. Name* ddress: Address: ity: I state: City: state, Name: I _ Phone: Zip: Phone: PEE SIMPLE TILE HOLDER: x�« Not Applicable BONDING COMPANY: Not Applicable ame: Name: ddress: I Address: pity i City: Zip: I Rhone: Zip: Phone: I I certify that no ork or Installation has commenced prior to the issuance of a permit. St.Lucie County akes no representation that is granting a permit will authorize the permit holder to build the subject structure 1*hlch is In con I with an applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such tructure.Please onsult w h your Home owners Association and review your deed for any restrictions which may apply. In consideration o the granting of this requested permit,t do hereby agree that I will,in all respects,perform the work 7,he accordance wid the approved plans,the Florida Building Codes and St.Lucie Co6nty Amendments. following buildingI permit applications are exempt from undergoing a full concurrency review:room additions, a cessory structures,swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residential use ARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for pprovementso your property,A Notice of Commencement must be recorded and posted on the jobsite efore the first Inspection. If you intend to obtain financing,consult with lender or an attorney before c mmencin w rk or recordin our Notice of Commencement. I a L&I 04 . Signature of Owner/Lessee/Agent Signature of Contractor License Holder S ATE OF FLOR LSA STATE OF Elt7�tIDA OI,INTY OF ss w __ COUNTY�l"sLiLaaEe he forgoing instLmen!was acknowledged before me The forgoing instrument was acknowledged before me t is_„_,day of 20 uby this day of A t�G . �,20 jIr-, by Lisa Mane La" sww Llaa McAC LuwmcO (Name of person acknowledging) (Name of person'acknowledging) LOW{ ignature of Notafly PublIct State of Florida) (SE Lure of Notary Publi ,....,,, LISA MARIE LAWRENCE P rsonalty Known 0 Prp� )dentaf�Sii'lAARiE LAWRE Pers ally Known,� g � � _tdbE�ifila0itort Ssite at, T e of IdentificatiProduc :�+�• r� Notary Publicc-5tato of lcsppp f Identification Prod e « ,• My Comm.Expires Mar 11 Qt -•« ,•- yComm,Expires ar 1 ,2017 ommission N EE 882542 teE ;� Y`' Catrirnlasion M EE 882 E>;tt82tS44 '"`� '�"" 9 rough NortonJi Notary APs C mmisslon 1140, ,', ,,,,� „5e�1� tom issian No. y ••��� o tied Through National Nola yAssn. evised 07/15/�014 R IEWS C RONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE LINTER REVIEW REVIEW REVIEW REVIEW REViE~W REVIEW 0,}TE COMPLETE INI�IALS r000/r0000 A02idl�Id 98i4021d 9ZZCL9VZLL+ XVd AId99:ZT 2TOZ/LO/90