HomeMy WebLinkAboutBuilding Permit Application 05/09/2018 2:09 PX FAX Z0001/0003
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date r-„'�• 1 4a, Permit Number: IL, K-- 0
Building Permit Application RECOVED
Planning and Development Services MAY � 9 2016
Building and Code Regulation Division
2300 Vtrg'inia Avenue,Fort Pierce FL 349$2
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMI I APPLICATION FOR: Mechanical
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Address: 350$Rod Tailed Hawk Drive
Legal Description: Fairways at Savanna Club
Property Tax ID M. 3424-800-0087-000-0 Lot No.17
Site Plan Name: $508 Red Tailed Hawk Drive Block No.70
Project Name: Rolf P Seebacher
Setbacks Front Back: Right Side: Left Side:
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Exact HVAC change out 4 ton 14 seer Split system package unit /9 1e-171
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rtion workto orme under is permitc ec a appy:
HVAC 0 Gas Tank ❑Gas Piping TI_Shutters Windows/Doors
Electric D Plumbing []SprinklersGenerator Roof
Total Sq. Ft of Construction: So-Ft,of First Floor.
Cost of Construction:$ 5720 Utilities- Sewer Septic Building Height:
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Name Roli P Soebachor Name: Sharriod Watson
Address-3508 Red Tailed Hawk Drive Company: Promag Energy Group AIC&Heating Inc
City: PortlSt Lucio State:Fl Address: 3300 37th Street
Zip Code? $4952 Fax: City: Orlando State:Fl
Phone N,01.772-879-9715 Zip Code-, 32839 Fax: 407930.0703
E-Mail: ( Phone No. 407-3$0-5560
Fill in fee Isimple Title Holder on next page(if different E-Mail: ttaggart1220@gmaii.00m
from the Owner listed above) State or County License: CMCA48033
I f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
05/09/2016 2:109 PM FAX 010002/0003
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable„
Name: 1 Name:
Address:' Address:
City: I Stater City: State:
Zip: I Phone: Zip: Phone'
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FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: 1 Name:
Address:{ Address:
City: I City:
Zip: I Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St.LucieCaIun 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 ano covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your decd 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 followilig 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
WARMING 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.
Signature of Owner/Lessee/Agent Signa a df Contractor/Elco Holder
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF tnrC' . to COUNTY OF_ ,-->
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of rne►_�! 20 4- by this I day ofA` 20 LL by
(Name of person acknowledging) (Name of person acknowledging)
(Signature if Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Kfiown–/—OR Produced identification Personally Known!{ OR Pro uced idPn ification
Type of identification Produced .-mow tification c'r d
�f;• '.. ;hr�'SCRIDE 991 Ca b
Commission No. `t a�) MY COMMISSIO ATdR9 � No. P.1'�'G��(( SION#FF009229
EXPIRES April i J,2017 wd`` Ek`Pi 1 April 17,x017
{407)94rrt�oi';� rtorftlallotarySorvlco.aom
Revised 07115/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE '
COMPLETE I '
INITIALS
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