HomeMy WebLinkAboutBuilding Permit Application Feb 04 2016 2:26PM HP Fax page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/4/2016 Permit Number:
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RECEIVrl FEB 04 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2340 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
il I
Address: 7613 Greenbrier Circle, Port St Lucie, FL 34986
Legal Description: POD 19 PUD II GREENBRIER(PB41-5)LOT 111 (OR 3377-522)
Property Tax ID#: 3322-700-0116-000-3 Lot No.111
Site Plan Name: POD 19 PUD II Greenbrier Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace 4 ton heat pump split system air conditioner with brand new Like 14 seer4 tor Goodman
heat pump split system air conditioner
MINIr
ACIclitional wor o MrlasTank
orme a un ert is permit—c ec a apply:
Z✓HVAC ❑Gas Piping _Shutters ❑Windows/Doors
Electric E] Plumbing ❑Sprinklers ❑Generator Q Roof
Total Sq. Ft of Construction: 2736 S . Ft.of First Floor: 2023
Cost of Construction:$ 2399.00 Utilities:'nSewer"Septic Building Heig t:
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Name Micheal Mangan Name: Robert Hennis
Address:7613 Greenbriar Circle Company:Air Control A/C&Refrigeration LLC
City: Port St Lucie State•FL Address: 5415 Silver Oak Drive
Zip Code: 34986 Fax: City; Fort Pierce State:FL
Phone No.631-805-1217 Zip Code: 34982 pax: 772-460-6613
E-Mail: Phone No. 772-460-2665
Fill in fee simple Title Holder on next page(if different E-Mail: AIRCONTROLAC@YAHOO.CO
from the Owner listed above) State or County License: CAC1815015
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb 04 2016 2:26PM HP Fax page 3
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DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: „Nat Applicable BONDING COMPANY: —Nol Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the sbject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restric or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which m 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 addition
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 attorneN before
commencing work or recording our Noticeof Commencement.
S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SrLUCIE COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged be fore me
this day of , 20 by this 40' day of February .24 by
William Palladino 1 William Palladino
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Ident fication
Type of Identification Produced Type of Identification Produced
Commission No. E=8516 (Seal) Commission No. EE208516 (Se 1)
'011.6. YYIF.I WPALLADINO ' um
EXPIRES:Jana 14,2016
IMPg tyl, N,r,r,
Revised 07/1512014 �,,�,, Bon0od1AA1tIIdNSMtlu�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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