HomeMy WebLinkAboutapplication ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/5/2016 Permit Number:
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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
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.II. u�"Gai tlJ s ,i!iV�l rty,!('i'{t�:; :dij�'y-' i"i ..t,. '1 IA! .I�i'•
Address: 44 CAMINO DEL RIO-PORT ST.LUCIE,FL. 34952
Legal Description:
1 T '
Property Tax Ip Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
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EXACT A/C CHANGEOLIT WITH 10 KW HEAT STRIP
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Additional wor o El
orme un er is permit—c ec a app y:
C Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ElPlumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,900 Utilities:[]Sewer OSeptic Building Height:
s� B�
Name MARY RICCARD Name: ADAM B. EMANUEL
Address:44 CAMINO DEL RIO Company: ADAM'S AIR CONDITIONING INC
City: PORT ST LUCIE State:FL Address: $82 NW MERCANTILE PL
Zip Code: 34952 Fax: City. PORT ST LUCIEState:FL
Phone No.772-353-2231 Zip Code: 34986 Fax: 772878-3951
E-Mail: Phone No. 772-337-6559
Fill in fee simple Title Holder on next page(if different E-Mail: info@adamsairconditioning.net
from the Owner listed above) State or County License: CAC1814148
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
I DESIGNIER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:— City: —State:
Zip: Phone: _ Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: —Not Applicable
Name; Name:
Address: Address:
City: City:
Zip: Phone; Zip: Phone:
I certify that no work or Installation has commented prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the�errnit holder to build the subject S ruqure
which is in conflict with any applicable Home Owners Association rules,bylaws pr an covnants that may,regrict or proiribit such
structure.Please consult with your Home Owners Association and review your deed or any restrictions whic may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and$t.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
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,Owitiirorowner/Agent/Wse�r Si go(contractor/LicerAe
STATE OF FLORI E F FLORIDA
COUNTY Or �� - L 116 12, COU OF , k-a d I!
The fogoing lnstM=nt wasacknowledged before me The forgoing lnstruqient was acknowledged before me
this 20 14 by this 4d-vbay of " I 20-u by
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(Name-of person acknowledging) (Name of person acknoWedging)
pilinjore of Nmry Public--3tafe-of Florida) (Sisnaitu e'of Notary Public-Stahvillorida
I-,—
Personally Known I/ OR Produced Identification I 1=11y Known—"/' OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 6%TTE HAMILTON Commission No. A*HE HAMILTON
WYCOMMISSIONMIN1116611 MY CONVUSSION 0 pr9aw
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Revised 07/15/2014 ------------------------
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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