HomeMy WebLinkAboutBuilding Permit Application Feb, 4. 2016 3; 21 PM No, 7180 P, 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater' I Permit Number: l l�� '� ® ' 40
RECEIVED,
Building Permit Application FEB - 5 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fon:Pierce FL 34982
Phone: (772)462-5553 Fax: (772)462.1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
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Address: 5816 Spring Lake Terrace
Legal Description: PORTOFINO SHORES-PHASE THREE-(Pl3 43-40)LOT 388(OR 2299-2142)
Property Tax ID#: 1312-503-0161-000-1 Lot No.388
Site Plan Name: RobertAubin Block No.
Project Name: RobertAubin
Setbacks Front Back: Right Side: Left Side:
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HVAC Equipment Change Out; Make- Carrier; A/H Model: F84CNP042L00; CIU Model:
CH14N604200G; 10 kw Heater J � I1 1 c�
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i Iona work to e i3errQrmeci under this permit—check all appy:
I✓ HVAC L_J Gas Tank ❑Gas Piping In Shutters 0 Windows/Doors
Electric Plumbing []Sprinklers I Generator 7.Roof
Total Sq, Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4919.36 Utilities: Sewer[Septic Building Height:
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Name RobertAubin Name: Donald W O'Bryon
Address:5916 Spring Lake Terrace Company: Preferred AC&Mechanical, Inc,
City: Fort Pierce State:FL Address: 1643 Donna Road
Zip Code: 34951 Fax: City: West Palm Beach State:FL
Phone No.401-829-2128 Zip Code: 33409 Fax: 561-478-0089
E-Mail: Phone No. 551-589-1083
Fill in fee simple Title Holder on next page(if different E-Mail: tricla@preferredacmech.com
from the Owner listed above) State or County License: CAC1817665
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb, 4. 2016 3:21 PM No, 7 18 0 P. 3
i 5 I e REP.!MIT
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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: =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 the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
-- s
5 ature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm sa--t, COUNTY OF Paimavach
The forgoing ins nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of 70 y this `t" day of Febnrsro 20 _by
Done W ry4-m 46nl DoId W 0' en.Aa AV t
(Nam of p rson cknowled g) qPersnown
on kn I g)
(sig ure f oto blit- tate of Florida) f Notary Public-State of Florida)
Person K own x OR Produced Identification X OR Produced Identification
Type of I ratification Produced Type of Identification Produced
Commission No. 72115e7 (Seal) Commission No. FF2"sff7 Seal)
TRICIA RADA
ash;" MINAs
Revised 07/15/2014 , MY !u1E :July
1{ 7
FF21159 ' EXPIRES:
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Bu2deirwrltere
EXplllS;Jul 18 2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS