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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
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
PROPOSED IMPROVEMENT LOCATION:
Address: 9450 Meadowood Dr, Fort Pierce, FL 34951
Legal Description: QUAIL RUN VILLAGE BLDG 3 UNIT 201 (OR 626-84: 3771-2746)
PropertyTax ID #: 1327-703-0031-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Exact replacement of a 5 Ton, 16 Seer A/C system with 10kw heater.
Lot No.
Block No.
CONSTRUCTION INFORMATION:
trona wor to e e orme under t–checkispermit a appy:
Z✓ HVAC F] Gas Tank OGas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 5253.00
SFt. of First Floor: _
Utilities: Sewer 11 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: -
Name Leon and Elizabeth McBride Family Trust
Name: Michael Ewing
Address: 27 Hilltop Drive
Company: Pioneer Cooling and Heating Inc.
City: Goshen State: NY
Zip Code: 10924 Fax: —'
Phone No. —
Address: 585 NW Mercantile PI #106
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772-621-9134
Phone No. 772-621-9133
E -Mail: —
Fill in fee simple Title Holder on nextpage (if different
from the Owner listed above)
E -Mail: info@pioneercooling.net
State or County License: CAC1817251
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie CountNy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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 vour Notice of Commencement.
YY1hF+ S
_ Signata of wner/ •ssee/Ag_nt Signature of Cont ctor/Li nse Holder
STATE OF FLORIDA,k l.lAnlQ,
COUNTY OF J
The forgoing instrument was acknowledged before me
this;' day of Te)0 h A Kt 20 aby
(Name of person e5pnowledging I
Known A OR Produced Identification
Type of
Commission No.
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF 5+ Z j_ L
Theforgoing instrument was acknowledged before me
thisn day of .20 LJ) by
Personally Known AOR Produced Identification
Type of
__511RITTRET L LAMERI BRITTNEY L LANER
MY COW*RSION a FFS5W7,3 Commission No. MY COMW?M&N a FF95073
EXPIRES February D2.2020 F%51 EXPIRES Fabruary02, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS