HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED}
Date: 9/4/2015 Permit Number:
RECEIVED
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Building Permit Application SEP /4 20b
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
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PR`t POSED li1/�FR�01/EM'ENIV-11P ATITs ,ER,
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Address: 70 AQUA RA DR
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO
Property Tax ID#: 4511-811-0014-000-2 Lot No.LOT 13
Site Plan Name: Block No. BLK A
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DET ILED DESCRIPTION OF WORK
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# 71,
A/C CHANGE OUT OF A RUUD 2 TON 14 SEER UNIT WITH 5KW
CONSTRU T N�)NF,ORMATION'
Additional work to be nertormed uncler this permit—check a appy:
❑✓ HVAC Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 3 1 �� ' 0 c Utilities:Sewer Septic Building Height:
3 CONTRACTOR 7HCJM FlS A S'N11TH
OWNER/LESSEE CHARLES KELLYs W
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Name Thomas D Voss Name: THOMAS A.SMITH
Address:70 AQUA'RA DR C(cmpany: ALL YEAR COOLING & HEATING
City: Saint Lucie County State:FL Address: 1345 NE 4TH AVE
Zip Code: 34957 Fax: City: FORT LAUDERDALE State.FL
Phone No.772-370-2638 Zip Code: 33304 Fax: 954-745-8805
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page(if different E-Mail: DDANIELS@GMAIL.COM
from the Owner listed above) State or County License: CAC058159
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x—Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE 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 t 'rst inspection. If you intend to obtain financing, coy@ult with lender n attorney before
com 'n o k or recording our Notice of Commencem
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SignatureofOwner/-•Lessee/ Ent Sigri ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 0Fs`r�ucfiE COUNTY OFBRowARo
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4_day of SEPTEMBER 20 Eby this 4 day of SEPTEMBER 20 15 by
Thomas D Voss THOMA A.SMITH
(Name person acknowledging) (Na a person acknowledging)
o e e
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(Signature of Notary Public-State of Florid1i (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known
Type of Identification Produced Type of Identification Pr
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Commission No. FF1 12�"'�ta� Commission No. FF173126 +�'. Pr
•,� .,•.. IMI'TF A DANIELS EXPI ctaber 30,2018
t•i 1• MYCoMMiSSION#FF173126 (407)398.0153 FloridallotaryService.com
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