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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 Permit Number:
LNEA I'SSI I'll RECEIVED AUG 2 5 ?J15
Building Permit AppliCation
Planning and Development Services
Building ond Code RegWation Division
2300 Virginio Avenue,Fort Pierce FL 34982
Phone. 46 Fax:(772)462-1578 Comn6erdal Residen ial X
PERMIT APPLICATION FOR: Mechanical
RP
.17,
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I Nk I W
Address: 604cl n/YA MivP, or (Ug
Legal Description;
Lot No.
Property Tax ID ID
Site Plan Name: Wock No.
ProjectNnme:
Setbacks Front_ Back: -Right Side: Left Side:
M"i
Additiona o •b- r e• u r this permit—c ec ai. app Y:
DHVAC Gas Tank []Gas Piping —Shutters i Wi�,dows/Doors
DElectric Plumbing OSprinklers, denerator Lj 131
Total SqFt of Construction, SCI,Ft'of First Floor:
Cost of Construction:S utilities:D Sewer ■Septic BuildIng Height:
RM
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Name: J)SE RAMIREZ
Company: EAST COAST MECHA�ICAL
Address: 1500 N HIGH RIDGE Rd,
U -C ity: iOYNTON$EtfkCH State..FL
33426 7i -2701 p Code, Fa�: (561)493
Ph
561)586�3739 EXT 20 0 one No.
PF-RMITS&EGMSERVICEICOM
StatecrCounty icense.
08/25/2015 10:07 561-4932701 ECM PAGE 03/03
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; —Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: —
Address: Address:
City: State;
- city:- --- State:•
Zip: Phone:_ -- Zip: Phone.
r
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 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,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 failurelto 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 workor
recording your Notice of Commencement.'
Signature of Owner/A en t'/ essee Signature of Contractor/Lic nse Molder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—PALMF]CACH COUNTY 0FPwuamcw
The for Ding instrument was d knowiedged�,pfore me The forg ing ins'tr ment was acknowledged b fore me
this day of 20_1_by this 0day of
JOSE RMIRE7 ! JOSE RAMiN87-
(Name of person acknowledging) (Name of person acknowledging)
(Signa ure of Notary Public-State of Florida) (Signa re of Notary Public-State of Florida)
Personally Known x OR Produced identification personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. GILLIAN CHUCK Commission No. ftELI AN CHUCK
NOTARY PUBLIC
STATP_OF FLORIDA
NOTARY PUBLIC
m Comm#EE172182
Revised 07/15/2014
Expf X17/201 R t Expires 41112016
REVIEWS FRONT 70NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANG-ROVE
COUNTER REVIEM.;, REVIEW REVIEW REVIEW REVIEW Revir;W
DATE
COMPLETE
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