HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: xV
RECEIVED
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Building Permit Application DEC 2 0 2016
Planning and Development5ervices PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virgipip Avenue,Fon Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR, Mechanical
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Address: 10127 Wild Quail Drive
Legal Description: POD 6 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE
(PB 42-33) LOT 14 (OR 3906-1794
Property Tax ID#: 3322-621-0023-000-2 Lot No.—
Site Plan Name: Block No. _—
Project Name:
Setbacks Front Back: Right Side: Left Side:
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A/C CHANGE-OUT LIKE FOR LIKE 3.5 TON, 16 SEER, W110KW HEAT STRIP
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Additional worko e performed under this permit-c ec aftppHVAC Gas Tank 0Gas Plping hutters ❑Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 5200.00 Utilities:11 Sewer 0 Septic Building Height:
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NamePATRiCIAA.BRUNKHURST Name:ADAM E:MANUEL
Address:10127 WILD QUAIL DRIVE Company: ADAM'$AIR CONDITIONING
City: PORT SAINT LUCIE State: FL Address: 582 NW MERCANTILE PL
Zip Code: 34986-3329 Fax: City: PORT SAINT LUCIE State: FL
Phone No. Zip Code: 34986 Fax. 772-878-3951
E-Mail, Phone No. 772-337-6559
Fill In fee simple Title Holder on next page(If different E-Mail: IN FO@ADAMSAIRCONDITIONING,NET
from the Owner listed above) State or County License: CAC1814146
If value of construction is S2500 or more,a RECORDED Notice of Commencement is required.
:SrIIFP:CE{Ni�NT�ki4:E0NS CTION LIER LAW;*.6.4
DESIGNS ENGINEER: Not Applicabie MORTGAGE
COMPANY—Not Applicable
�. Name: Name:
Address: Address:
City; Stater City: State:
Zip: Phone; Yip: 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 Count,makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or ankrovenants that may,restrict or prohibit such
structure.Please consult with your Nome Owners Association and ravio-w your dead 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 Commericement must be recorded and posted on the jobsite
before the first Inspection.If you intend to obtain financing,consult with tender or an attorne�r before
commendri work or reca dirt ur-Mce . mmencement. -
-
Sigpaturpdf 60W r Agent!Jesse Signature df� •tractor/Llcens
iS�TATE OF ARID STATE OF FLORIDA �}
CfQtaNY`Y 4F ,1 �x COUNTY OF .� L I
The 11 oing Inst nt was a knowledged hgfore me The forgoing instr,ment was acknowledged before me
this )day of Y 20 hiby this tlay of 20 'by
Cl
(Name of person acknowledging) (Name of person acknowledging)
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(Signatu.. f Notary Pubi/c-State of Florida) (Signzlture o Notary Public-State of Florida)
Personal own
__ZOR produced Identification... .. Personall nown \1 OR Produced Identification
Type of identification Produced:-. Type eratification Produced
Commission-No. Commission No. .ORA. Sam
L TTE HAMII.TON 114111r.1 IF,HAMILTON
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Revised 07/15/2014
REVIEWS FRONTZONING SUPERVISOR PLANS VEGETA-1`1014SEATURTLE MANGROVE
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