HomeMy WebLinkAboutBuilding Permit Application Jan 19 2017 11:39AM Preferred A/C & Mechanicl 7729787510 page 1
ALL APTSLE INFO MUST BE COMPLETED FOR APPILICATION To BE ACCMED
Date- Permit Number:
R E C E I V r7 D YAN 10 7017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772)462-L553 Fax-.(772)462-1578 Commercial. Residential X
PERMIT APPLICATION FOR: MaChanical
Address;a3O Place Lake Dr,Ft Pierce,34951
Legal Description: PORTOFINO SHORES-PHASE TWO-(PB 43-33)LOT 70(OR 2288-1939)
Property Tax ID#.- 1312-502-0061-000-7 Lot No
Site Plan Name: Block No.
Project Name:
Setbacks FroqBack- Right Side: Left Side:
WET IS
----------
Fumish and install new Carrier,14 seer,6 ton split system with I OKW heater
4,
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Aclartionalworictobe rrormed unaertnisperm rE—cnecxaiiMsUapprir,
10HVAC []GasTank DGas Piping I I Shutters F—lWindows/Doors
FiElectric 0 Plumbing FSprlinklers M Generator F—hoof Roof rifth
Total Sq.R of Construction: SQ.Ft,of First Floor:
Cost of Construction:$ 4720.00 Utilities:0Sewer 11 Septic 13trilding Height:
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Name Theresa Brandifino Name: Donald OBryon
Address-5530 Place Lake Dr Company: Preferred Air Conclitioning&Mechanical Inc
City: FT Pierce Slate:FL Address: 164.3 Donna Rd
Zip Code: 34951 Fax. City: West Palm Beach State.FL
Phone No- Zip Code: 33409 N)c 561-478-0089
E-Mail, Phone No. 561-689-1093
Fill infee simple Title Holder on next page(if different E-Mail: nioolo—@pmfeffodacmech.corn
from the Owner Fisted above) State or County License: CAC1817665
it value of construction is$2580 or more,a RECORDED Notice of Commencement is required.
Jan 19 2017 11,39AM Preferred A/C & Mechanicl 7728787510 page 2
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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 Tf13.E 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 ofa permit.
St-Lucie Count makes no representation that is granting a permit will authorizethe permit holder to build the subject structure
which is in con ictwith any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult vilth your Home Owners Association and review your deed 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 Colles 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 rt'IaY result in Your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the spection.if you intend to obtain financing,co wl ender ori n attorney before
comm n o or di ur Notice of Commenceme
s
Signature of Owner/Less dDntrador as Agent for Owner Sign of Contractor/license holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ptim—z" COUNTY OF +
The fa Ing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this Tfday of Li _, 20 L2by this 171'K day of JANllARY 20 1,1_by
DOW&D OMRYdN-AGENT DONALD OWYON-OONMC;mR
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-stato of F orida) (Signature of Notary Public-State of 1-orlda)
Personally Known x OR Produced Identification Personally Known X OR Produced IdentElication
Type of identification Produced Type of-Identification Produced Nicole L.Ra ey
r� Nlcole U R C� NOTARY P LIC
Commission No. l�7� �1't t mmisslon xD 9 i I STATE OF RIGA
NOTARY PUSL
STATE OF FLO 110A Cornrntl GG 529
2020
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Ytevised 07/15/2014 • Expires 11/2/2420
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SF.ATURTLE MANGROVE
COUNTER I EV1EW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS