HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/26/2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical E'
PROP,OSEf311UIPR011EMENT I OCATiON�,
Address: 7626 US Highway 1, Port Stl Lucie, FL 34952
Legal Description: prima Vista Number One(PB 40-37)Lot 2(0.844 AC)(Or 1466-2032)
Property Tax ID# 3422-802-0005-000=2 Lot No. 2
Site Plan Name: Block No.
Project Name: McDonald's
Setbacks Front Back: Right Side: Left Side:
r
OTAIIED,DSCRIPTION OF WORK ,
Remove and replace (2) roof top units, like for like, disconnect and reconnect
f O -A
£
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work toT:e e Orme � under this per -c'eca t� a 'apply:
P apP Y� .
ZHVAC 11 Gas Tank F]Gas Piping _Shutters a Windows/Doors
Electric F] Plumbing OSprinklers I Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 10,500.00 Utilities: Sewer El Septic Building Height:
OWNEftKJLESEECONTRACTOR
Name Xenon SA%Alan Rosenthal Name: C.Jason Kujala
Address:20.900 NE 30th Ave#600 Company: AES Mechanical Services Group, Inc.
City: Aventura State: FL Address: 2171 AL Highway 229
ZipCode:'33180 Fax: r City: Tallassee State:AL
Phone Na. L f Zip Code: 36078 Fax: 334-252-0387
E-Mail: Phone No. 334-252-0382
Fill in fee simpleTitle Holder on next page(if different E-Mail: sara@aesmech.com
from the Owner.listed above) State or County License: CMC1249451
if value of construction is$2500 or more,.a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L.IE,N LA1iV JNF.ORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable m
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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.
5t.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.
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>: Si n, ure of Owne / �essee/Agent�:1k JAur��,art ignatur• ontractor License Holder
STAT O F19A�f" E O F 6�4
COUNTY OF COUNTY OF
The for ing instr nt was acknowledged before me The forgoing in tr i ent was acknowledge 1d before me
this Lay of r 20 Eby this day of �tttiY 20 ZZ by
{Name of person acknowle ing) (Na o perso cknowle Ig j
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( nature of Notary` ubli to of F.lcirrda) ignatu e f P otary Public-State of�id,& 6e fo
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Personally Known OR.Produced identification Personally Known �OR'Prod;p'11Q' i tt-f;
Type of Identification Produced Type of Identification Produced w. •a5. k��'- "�
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Commission No. c ea 6mmission o. (a� l� UJ
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OFFICIAL SEA _ AUg�6XO :Q7
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Notary a it'c=bTate o ITMOTs--
Revised 07/IS/Z014 My Commission Expires Feb 22,2016 �,�'��,� •- ? qac
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