HomeMy WebLinkAboutBuilding Permit Application 09/05/2015 11:44AM FAX +7724673228 IFROMAG ENERGY ` 030003/0004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ;
Dare: 9ast-i�;gt3t5-°� 145 Permit Number: 15CJ`s Ci1 �So
- RECEIVE-D SEP 0 8 M
Building Permit Application
Planning and Aevelopment Servkes
Building and Code Regular/an Division i
2300 Virginia Avenue,Fort Pleme FL 34982 '
Phone:(772)462-IS53 Fax:(772)462-2578 Goml'1'7ercial Residential XXX
PERMIT APPLICATION FOR: Mechanical
R OSEC1 PR{ 1ENiN l~O,CA "C1N..-.
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Champions 8841 Cham We
Address. P' Y I
Legal Description: Lakes at PGA Village(PB 43•.32)BQK A LOT 11 (OR 2134-7)
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Property Tax ID#: $334.501-0025.000-4 i Lqt No.11
Site Plan Name: Bbck No. A
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Project Name: Raiisnider
Setbacks Front back: Right;Side: Left Side:
LED b.1"SCRn2 :..O 1N91i�lC; :.;.
Change out existing A/C unit: Rheem 4 torr 11;4 seer, HP, Split System w/1Qkw Heat
Condenser: M#15PJL48A01 S#W211403667
Air Handler: M#RHLLVHM6024JA S#W4214.18994
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AdditionalworKtObaceFfO3rme under this perms --[check all appy:
HVAC Gas Tank []Gas Piping fl_Shutters Windows/Doors
OElectric Plumbing 0Sprinkle4 11 Generator 0 Roof
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Total Sq.Ft of Construction: SQ.Ft.of First Floor:
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Cost of Construction;$ 6,226.00 Utilities:0 Sewer OSeptic Building Height:
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NaMe Ronald&Lauretta Raifsnider I Name: Shen led O Watson
Address:8841 Champions Way Company: ProMag Energy Group
City: Port S.Lucie State•FL` Address- 42051/2 Motager Road '
Zip Code: 34986 Fax. I City. Ft.Pierce State-FL
Phone No.314-703-111fi ` Zip Code: 34947 Fax. 772 252 4631
E-Mail: ! Phone No. 772-467-3227
hill In fee simple Title Holder on next page(if different E-Mail: lisal@promagenergygroup.com i.
from the Owner listed above) i State or County License: CMCA 48033 i
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if value of construction is$2SOO or more,a RECORDED Noti4e of Commencement is required. 1
;
CON'STRUCTI
:LAW';2'-1NF0R AT1--':
DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: M_Not Applicable
Name: I Name.-
Address: I Address:
City: I State, City: State:
Zip: I .Phone: Zip:_Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: -- Not Applicable
Name, I Name:
Address: I Address:
City: I City:
Zip: I Phone: Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit
St.Lucie County rn 5 no representation that is granting a permit will authorize the permit holder to build the subject structure
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which i$in can I 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 respect$,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 land accessory uses to another non-residential use
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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 w6rk or recording our Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF st,L-a- COUNTY OF SL W.I.
The,fMolng I was aSr edge,�before me The forgoing in eAbefore me
this day of'%� by this
day of by
Lina Marla Lnwmr6 ShoMad 0,Watoun Ltd (7�
(Name of person acknowledging) ( of person:acknowiedging)
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natureofNota kWlic-State (Sign re of Notary Mnrida I
LISA MARIE LAWRENCE
Personally Known 3= R Produced Identification Personally Known J�rM&MAftkMc5lil Florida
nature ELAW1111DIC
fflf LAWRENCE
0
Expires
Mar 11 1
Type of Identifidat, Type of Identificationift My comm.Expires Mar 11, 1
USA MARIELAWRENCECommission
110.131 Notary 33n,
Bonded Th Ilona]Notary A33n,
Commission No. y co�mnx'pl"'Iafe of Florlds Commission No.
Corrimls.,0,10a Mar 11,2017
Me 127
#EE$82542
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Inrougf,Nall--I NolaryAsp.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
cbUNTER REVIEW REVIEW REVIEW REVIEW REVIEW, REVIEW
DATE
COMPLETE
INITIALS
2000/g000ln DIVRO&I 9ZZ9L9V%L+ Xtra Xc1f0:ZT 9TOZ/90/60