HomeMy WebLinkAboutBuilding Permit Application 08/08/2016 11:17 FAX Del Air IM 0001/0005
ALL APPLICABLE 1NF MUUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: �' '/ Permit Number: O7 1
RECEI
Building Permit Application VE
Planning and Development Services AUG o 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 4910 PALEO PINES CIR
Legal Description: HOLIDAY PINES SID-PHASE 11-13-LOT 302 (MAP 13/13N) (OR 3854-1817)
Property Tax ID#: 1312-801-0105-000-06 Lot No.302
Site Plan Name: Block No.
Project Name:AARON MCDONALD
Setbacks Front Back: Right Side: Left Side:
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HVAC FULL SYSTEM CHANGE OUT NO DUCT WORK
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Aaditional work to be rtormeciunder this permit-check a appy:
I✓ HVAC flasTank ❑Gas Piping Shutters a Windows/Doors
0_Electric 1:1 Plumbing Sprinklers E Generator D Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9491 Utilities:11Sewer 05eptic Building Height:
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NameAARON MCDONALD Name: DELAIR HEATING &AC
Address:4910 PALEO PINES CIR Company: 531 CODISCO WAY
City: FORT PIERCE State:FL Address: 531 CODISCO WAY
Zip Code: 34951 Fax: City: SANFORD State:FL
Phone No.407-279-2525 Zip Code: 32771 Fax: 407-333-2665
E-Mail:N/A Phone No. 407-333-2665
Fill in fee simple Title Holder on next page(if different E-Mail: SALESJOBS@DELAIR.COM
from the Owner listed above) State or County License: CAC032448
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
08/08/2016 11:17 FAX Del, Air IZ0002/0005
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
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.
St.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,l 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,wails,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 obske�--�'
before the first inspection. If you intend to obtai ncing, consult with lender or an attor a or
commencing work or record in Ice of mencement.
DELLO s
Si re of Owner/Lessee/Age ` '. bFILO 'SVS re of Contractor/License Holder
STATE OF FLORIDA fr STATE OF FLORID � ,� --
COUNTY OF COUNTY OF
The for oing instr ent was ackn ledged before me The going inst ment was acknowledged before me
this day of 20,&.by this _day of '20 O' by
fiame
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( of person acknowledging 1 (Name of person acknowledging)
(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida}
Personally Known i OR Produced Identification Personally Known 1,0� OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. (Seal) mmission No. S
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS