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Building Permit Application
To: Building Dept Page 2 of 3 2016-04-19 18:18:41 (GMT) 17728786344 From:Albert Kuebler ALL APPLICABLE:INFO MUST BE COMPLETED-FORAPPLICATION TO BE ACCEPTED pate:.04-I&M Permit Number. Building Perimit.Application APR 19 2016 Pianrring and Development Services P E P O I TT I N G 6uildingand:Code ReguiationDivision St. Lucie County, FL 2300 Virginia Avenue,Fart Pierce-FL 34982 Phone:(772).462-1553 Fax:(772),462-1578: Commercial Residential X PERMIT APPLICATION FOR: Mechanical °(. :�<�}•� - ' ..._: ... ....-..n',:... is ... ..._�..... ..... .+ .� ....:�.-tet Address;4473 S.Indian River Drive,Foit:Pibrce,:FL.:349B2 Legal Description: Property Tax ID#: Z� h- ®© 01 - Lot Nq. Site Plan Name: Block No_ Project Name: Josephine Canton .Setbacks. :Front Back. — Sight:Side:.. .Ltft.Side: . S YWe a: M;Changeout 10 VW �. Add ...:...... .......:::.:... •t1I:_ itiona. vRrar '+a: a rm . un er is permit,c.ec .a. app y'; MVAC Cas Tank ®Gas,Piping Shutters 13WindoW5/Doors DElectric LJ Plumbing OSprinklers 1�.{ 6nerator Q Roof Total Sq..Ft of Constrgc#i©n:- 5. -Ft-of FifstFl�Flo``��or: Cost of CQiistructiorm:$:'$2,000:00 utilities-:Se,iver Else Utilities: Building Height: yf .4 NarrieJosepi ine Cantari Name..Albert Kuebler i4ddress:4473 S_Indian River Drive Cori7POny_'Kuebler Mechanical,Inc. city: Fart Pierce State:FL Address: 53.5,NW Mercantile Place,##7 1 •Ip Code:'84982 Fax:, Ci.ty_.Port St..Lucie state::FL Phone'No.772-475-5848 Zip Code: 34986 _ _-Fax:.772-67$-:6844 E-Mail: Phone No_.772-878-�281 Fill in fee:ss2 mpie Title Holder.on'next Rage t'if tli€fere{nt E,,Mail:.reelkool@msn.com from the owner listed above) State or County License: CAC 058105 if valise of construceion is$2500 or more,a RECORDEWNotice of Corrimencernent is required. To: Building Dept Page 3 of 3 2016-04-19 18:18:41 (GMT) 17728786344 From:Albert Kuebler 0 1emk/ImNC34NEE R., Not-Applicable MORTGAGE'comPAW- Not Applicable Name: Name: Address: Address; City:. State: City:. State! Zip: Phone- Zip. Phone: FEE SIMPLE Trri e-AoLDER: Not Applicable. BONDING COMPANY: Not Applicable. Name: Name:. Address: Address- City, Qty: Zip:-Phone i- Zipx. Phone: IcertifV thatnowarkot instafttion*has-.cornmenced prior to the issuante of a.permlit. St tudCoontymakes.ho repireseritatjon that-is,.granting:a.pgrmitwill-authorizethe permit.holder-to buildthe.subjeql:;structure' L wkhich'is In conflict vj1th:iany--.appl!c;4bIe:Home Owners Association rut�s,:bytaws..af an.dcfivenahts that may.restrict or Orohiblit-.suc- structure-Please consult mAth your Home."Owners.Association and review yoJue deed ftr any-resirictlons-which may apply. Yiconsldprat1pn of the'grantipg of this req uestad permit,Ido hereby agree that I will,.in all respects,perform the work- in..acwrdancewithlbe approved pians,the Florida RUitcling Codes andStIucle CauniyAmenc[Tekhts, The following building per.rnit-.ap.prications.are.exemptfrom unciimgaingafull concurrency..jrpWeWz room:oddiitions, accessary structures,-swj mrntrig-pools,fenreg,wails,.signs,..'screetk.r4o.oi7uand nqn-residential use WARNING TO O'61 NE to Record a Nottceoftommen.cament may result ip your.paying.,twice for Improvements to y6ur propefty..,�Notice of Commencement must bexecorded and-posted on the jobsite. before 6e.flist' 'Inipiection.,.If you intend to obtain financing,consult with lender or'an attorney befbre commencin.q-work.'."Or'recordingy'aur N&�ice-aftdrnmence m* ent. S Sign diff anRIDA STATE OF FLPRIDA sT. AT-E-'OF FLORIDA COLXMOFFWmA COUNTY Or- a knowtedgm before me The instrum kn ledgbefore-moia- Th 'f nW t nF this Of. 4Y thi7Fcdiayiof. 20 ey _&tk.r4 ki (Name.isf OrL 2c pf.p er A A jlanatu�-eof;Notary F1qblic-.SCati7o_fAjod VOwu.r�omotaryr)75.1 iate of Ff— a n PerOR-,Produced Identification s*iortally-ApoW ,tod4ce: PRT d IdentMcatiort Personallv-Known I I ' * Type-of Identificatii. P-�.odu.ced Type of Identificition ' duced k c6mmisiion {5 6H BAUGH fission No. fly com F expPEOMP Revised vra6e<nmro .j3'4 .0.7[15/20,1 16. REVIEWS FRONT ZONING. SUPERVISOR PLA S. VEGETATION SEA TURTLE MANGRO.VE COUNTER R.EVIEW REV`IEW REVIEW REVIEW RMEW REVIEW DATE COMPLETE' ANITIALS