HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August '2,2015 Permit Number:
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RECEV"T AUG 12 M
010
Now Building Permit Application
Plunning and Development Services
Building and Cope Regulation Division
2900 Virginia A>enue,Fort Pierce FL 34982
Phone:(772)�62-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT APP�ICATiON FOR: Mechanical
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Address: 7606 Bayard Road
Legal Descriptio : Lakewood Park Addition NO 1 SLK A LOT 26(OR 1756.2977)
Property Tax Ifo - 1 l 3aa,-$1 Lot No. 26
Site Plan Name: Block No. A
Project Name: Miefley
Setbacks Front Back: Right Side: Left Side:
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Change out existing A/C unit: Rheem 4 ton 15 seer, HP, Split System w/8kw Heat .
Condenser: M#15PJL48AO1 S#W471330184
Air Handler: M#RHLL-HM6024JA S#W231434776
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AUCfitiC wor to 1 ur ertorme uncier this perm} –check a [!lappy:
1✓ HVAC Cas Tank 0Gas Piping —Shutters Windows/Doors
11 Electric Plumbing Sprinklers ❑Generator ❑Roof
Total Sq.Ft of nstruction: S . Ft.of First Floor:
Cost of Construction:$ 5,800.00 Utilities Sewer Septic Building Height:
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Narrre M\eka•1 4ii+ �t �t Name: $harried O Watson
Address:7606 Bayard Road Company- ProMag Energy Group
City: Ft.Pierce I State-FL Address: 4205 1/2 Metzger Road
Zip Code: 34959.............._. Fax: City: Ft.Pierce State:FL
Phone No.-772 48-8515 Zip Code: 34947 Fax: 772.252.4631-
E-Mail:_- I Phone No. 772-467-3227
Fill in fee simpiIe Title Holder on next page(if different E-Mail; lisal@promagenergygroup.com
from the Owner listed above) State or County license: LMCA 48033
If value of constiuction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: "a Not Applicable
Name: _ Name:
Address: Address:
Ci State: _._ City: State:
City: ---
Zip: I Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: >� Not Applicable
Name: .. __ _ Name:
Address: I Address' _
City: I City:
Zip:Zi mm I Phone: -- Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Counttyv makes no representation that is granting a permit will authorize the permit holder to build the subicct structure
which is in conflict with an applicable Home Owners Association rules,bylaws or antl 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,
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_Signature of qi ner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IIILUNC COUNTY OF SL L.U.
The forgoing in. rumont was acknowledged before me The forgoing instrument was acknowledged before me
this�day of 20 Lsby this 12M day of A°aa°' ,20 fG by
Lima Marlo LawroncoLica Marla LxmmAa 'V&4\ Jr f ��
(Name of persor acknowledging} (Name of person acknowledging)
(Sig ature of Ndtary Pub " tate of Florida) (Sire of Notary Public-Sta f Florida)
Personally Know�I xxx ersonally Known xx:
LISA MARIE LAWRENCE ype of Identification P ' lE LAWRENCE
Type of Identifictition Pr u� �""�•. _ � •
r'•� Notary Puhl r -5tato o1 Floritla = • . - a 0 o Ot da
„ '• ••?My Com lIi�es Mar 11,201 y
Commission No. EE 88' �• +•:My((S h11 E,LUiloa Mar 11,201 o mission No. cc Camm�fo�n�!#EE 882542
j'onimlcsion #EE 882542 BontloeThrough NallonalNotar A
Annrrtl Through Natlonel Notary Ass Y Ann.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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