HomeMy WebLinkAboutBuilding Permit Application 08/25/2015 10:12 561-4932701 ECM PAGE 02/03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE6 e
Date: Permit Number:
11 RECEIVED AUG .2 5 2015
o
Building Permit ,Applicatign
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 X
PERMIT APPLICATION FOR: Mechanical
a e
Address: I L� nwjl/I (0I) 0'aL MV--f,
Legal Description: cLylla-17i 04 p± I
Property Tax ID#: 1 Lot No. 45
Site Plan Name: Block No.
Project Name;
Setbacks Front_ Back: Right Side; .,. . .. Left Side:
LIKE FOR LIKE A/C CHANGE OUT 4- tOY) , 20 3eer 1 10 W
"U cz'X 4 0 U'h V-'0�4- S
CdU PZ - 043
Additional work to bg performed under this permit-check.311 that appy:
HVAC Gas tankE ElGas Piping � Shutters windows/Doors
Electric ❑Plumbing Sprinklers U Generator [:1 Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction's I . O Utilities: Sewer 11 Septic Building HCight:
S
Name Name: JOSE RAMIREZ
Addr�eyss,: Company: EAST COAST MECHANICAL
City:1'y�F Address: 1550 N HIGH RIDGE RD
Zip Code: - .Tv^�i_ _( Fax: City. BOYNTON BEACH State:FL
Phone No. 5LA ' 2>53- DK� _ Zip Code: 33426 Fax: (581)493-2701
E-Mail: Phone No. (561)586-3739 EXT 2020
Fill in fee simple Title Halder on next page(If different E-Mail: PERMITS@ECMSSIRVICE.COM
from the owner listed above) State or County License: CAC036812
if value of construction is$250o or more,a RECORDEO Notice of Commencement is required.
_ I
08/25/2015 10:12 561-4932701 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:
FEE SIMPL*E TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name;
Address: Address:
City: City:
zip, Phone: 7.ip: Phone,
I certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie Countv makes no representation that is granting a permit will authorize the. rmit holder to build the subject structure
which is in conflict with any applicable Home owners Association rvnle%bylaws or andpecoveriants that may restfict or prohibit such
structure, Please consult with vour Home Owners Association and revi w your deed for any restrictions which may apply.
In consideration of the granting of this reeluested 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 roorns 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 lendcr or an attorney before
commencing work or recording,your Notice of Commencement.'
Signature of owner/A essee' Signature of Contractor/ ic
qn der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF- PALmocAcii COUNTY OF PALMSEACH
The fqrgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
JOSERAMIREZ GILLIAN CHUCK JOSE RAMIREZ
ng (Name of person acknowledging) NOTARy pijeLlr
(Name of person acknowledgi '%. ) Lwft_c��
OF FLORI
'COMM#E9172182
excilms 4r/1201 C,
(SignattVe of Notary Public-State of Florida) (SigUature of Notary Public-State of Florid
Personally Known x OR Produced Identification Personally K�own K OR Produced Identification
Type of Identift2tion Produced Type of Identification Produced
Commission No. (Sea[) Commission No. (seat)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE