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Building Permit Application
01/20/2017 16:02 7724663737 BOYLEAC PAGE 01 /.'30 %a ALi.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O�_ Date: Permit Number. EG NIV7". , 1 Building permit Application JAN 2 0 2017 Planning and Development Services Building and Code RegulaVon Division 2300 Wirginin Avenue,Fort Pie Phone:(772)462-1553 FaZ�7� Commercial_ Re�l�en ' PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION.- Address: OCATION:Address: Mff34q5 Legal Description;. 61 4&f $� G�IM52 -,L�-r 7.a•� „..._ ^,�. , PropertV Tax ID R, --.1 Z)j2�_5w -0014 000.�1 .,.... Lot No.� Site Pian Name; Block No. Project Name: Setbacks Front Back: .. . Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Uukt 1;1kf" - imtwl i4 w ttytm, 34on bar At systerni Wj�' 10 kW Vllat, 'RUn 11tW Cpprer*'1thg-.5 CONSTRUCTION INFORMATION: Adclftahal work orme under this permit—check a app MVAC Gas Tank Gas Piping _Shutters 0 Windows/Doors Electric Q Plumbing Sprinklers 1:1 Generator 0 Roof Total Sq.Ft of Construction: 50.Ft.of First Floor: Cost of Construction:$__ 5500k 00 utilities:.n Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name., .00 Addre s:��nu 'DrI10 ra ��AQ< Company: AAA na 14 City: States.,, Address: 21p Code:X51 Fax N CltVXbrb Rf a'A_ State: Phone No. M' q is 0 5I Zip Code: Fax: E-Mail• WA Phone No ��.� 1 � 1 a I Fill In fee slinple Title Bolder on next page 1 If different E-Mail: from tha owner 1lsted above) State or Cou ty License: ff value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. 01/20/2017 16:02 7724663737 BOYLEAC PAGE 03 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: Zip: Phone:Phone: Zip: Phone: FEE SIMPLE TRU HOLDER: ____Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address-. City: City: -- -- Tap: Phone: Zip: Phone: l certify that no work or installation has commenced prior to the issuance of a permit. St.L de Cou�,tv makes no re an that is granting a permit vv All authorize the It holder to build the subiect��te whit Is In eonilict with pptkahle kgme Owners ation es,bylaws or.an �vereants that ropy restrict ttiir p 1 such structure.Please consult your Home Owners Association and review your deed any restrictions which may app 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 pmt applications are exempt from undergoing a full concurreneV review:room additlom, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another nQn-rWdentiai use WARNING TO OWNER:Your#allure to Record a Notice of Conunencenwd may result in Vw paV ft twice far improvements to your properly.A Notice of Commencement roust 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 Commencei'nent. Vol Signature of OwneTfteW a Signature of Contractor/License Holder STATE OF FLORIDA STATE OF COUNTY OFLORIDA � �i,COUNTY O1F The forgoing instrument was acknowledged before me The forgoing instrument was admwMedged before me this 10day of20 w l.yy this 19—day of 20—''by t"1 0 1 1-7 ` g (Name of person ckn6vA ) (Name of persoi adowwl ng) . (Signature of Nota -State of Florida) (Signature of N Publlo-State of Honda) Personally Known OR Produced Identificati n Personally Known OR Produced identification air Type of Iden Type of Identific8tt n u WWI Pok• it APO Cii111B1111ga1 d0 � Commission — 111 Commission IUa_ 'yam' Fwids Nr own,Float AY/11,IM cemrerltsi"0 M 01i1�1 IOn01d 1 iialbnM NEW im. Now Revised 0 1 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA-nON SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 01/20/2017 16:02 7724663737 BOYLEAC PAGE 02 Ile .tM.r v*. 110JUDA ENERGY CONSERVATION CODE Mandatory Duct Inspection Certlflcation Of EVAC ChonV-Out (fir un whan pore of situ dud wWor HVAC Wdsm has baan mpinmd(Sicdon iO4,4,1.Ll&FS Mau) F Ir� Cronbrnetordr9DDa,l 0 r��5 C{r Jurhdictiath: � �aunRv7 T s 1 ---- Rnal Inapecdon dam: __-- I eerwthat i haus kupKUd the ductwork assWA d with HVAC unit refhrranca by the permit 11ated abouo wW=plrequirementsheMttof Saction 1MA.1.1.1 as Indkabcd babw: o "d,ft Qxistlrrg duels haws been sealed using relMiarod rhhastic at codth appraued oquivalltrnt. u dins ars Iocmd wltftln cwnl tlonid spade.(Section 1t10 A7.s excapON 1) o The joints or aaMt gM alma*ht eW witfh fabric anti mastic(Secthm IOL4.713 , 1 -i n zl © syslern was tossed(see below)and repairs were-made as neammv---(3ac*m SOL4.7.1.1 exception 3) slanat�rrt: ted. - 20 amtrar toes umme m-0-AC.,.,M j LO state ua ne&O. I ceh'ltf od 1 have bested the replace sir dlshributlon svMm(s)reteramed bvtihe Permit Wed lbM at v Pi inure Afenwdd of 25 Psscals 10.50 In.wX4