HomeMy WebLinkAboutBuilding Permit Application 02/16/2017 08:24 7724663737 BOYLEAC PAGE. 01
ALL APPLI INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPT>E D
Date;
�.. , ` Permit Number: 1 a 033
FEB 16 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Wginia 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 and of line V Z
PROPOSED IMPROVEMENT LOCATION:
Address: 3 n51 P. law
(�
Legal Description:_ m-r
i
I
Property Tax ID#: O \ - ao J" d�d Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
-
EETAILED DESCRIPTION OF WORK:
I.lkl?. l'pf j v. `(�l�lj Y\Iw L wR 4-1 h�. I\j 14 S
Sep,
YGu(ca Mjj- W 1-Yh 0
Mo&A LAP 114 AC 47W
CONSTRUCTION INFORMATION:
Y-
a W11 o Orme u er perm —c e a app y:
HVAC 1:3Gas Tank E]Gas Piping Shutters Windows/Doars
Electric O Plumbing O sprinklers Generator Q Roof
Total Sq.Ft of Construction; Ft.of First Floor:
Cost of Go
nstruction:$ Q •Od Utilitiess.Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
1
Name Name:
Address: Company:
Ci State. Address
`
Zip Cade: Fax:
City: S Q Stater,
Phone No. Zip Code: Fax:
E-Mail:__,_, Phone N
Fill in fee simple Title Holder on next page(If different E-mail-
from the Owner Ilsted above) State or Countr License:
"value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
02/16/2017 08:24 7724663737 BOYLEAC PAGE 02
5UPPLEMEN'TAL CONSTRUCTION UEN LAW INFORMATION:
DESIGN ENGINEER. ._Not Applicable MORTGAGE COMPANY: _ . Not Applicable
Name: Name:
Address: Address-
City- State.• City: Stater
Zip. Phone: Zip: Phone-
FEE SIMPLE TITLE HOLDER: _ _Not Applicable BONDING COMPANY: Not Applicable
Name' Name:
Address: Address:
Z7p . Phone: ZIP.- Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit
St. a Cou cnak no re tion that is granting a R will aut oriie the permit to build the subleet r+s
wh in ontr idt with ag re
a e home OMmers Assoc rules,bylaws at and covenants that may resWa or prVit it i
structure.please commit with 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 Godes and 5t.Lude County Amendments.
The following building permit applications are exempt tram undergoing a full concurrency re*w:morn additions,
access«y structuum,swimming pools,fenum walls,signs,screen roams and accessory uses to another non-raddential use
WARNING TO OWNER:Your fMkm to Recwd ai Notice of Co mmaw news mW comb iai yourpoftuvim for
improvements to your property-A Notice of Commencement must be recorded and posted an the jobsite
before the first inspection.if you intend to obtain financing,consult with lender or an attorney beforecommencipj work or rec:ordir our Nance of Commencement.
signature of Owner/Agent/Lessee Signature of ContracGa+Alcense pokier
STATE OF FLO11I At STATE OF FLORID
COUNTY OF ,Lid 1, , UJA.�_ COUNTY
The f oil t eM was acknowledgedt�4efa._re rile Ttie ng errt w8s admawk�t W before tatiC
this day of , 20- -�'F #Itis�Y oFW�a�=- 204 by
U.(Name of persona edgin ) ([Name of Person admowi
r
(Signature of Notary tate of Florida) (Signature of Notary state of Florida}
i'etsonaliy Personally
--
Type of lde u Type of i DISI INE J.C
Neu"Ptibiic.$tMe of Mi0ri0s � NotaryFUD110-MA
Gimmissi ission 0"&"139 Comm � Commission#GGA Ni
My Comm,E1lpirns Ago 21.2020 .Expires Au 77020
d AnR ann&d thtouah Nstional Nolry Ann.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVWR PLANS VEGETATION SEA,TURTLE MANISROVE
COUNTER REVIEW REWEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
02/16/2017 68:24 7724663737 BOYLEAC PAGE 03
1LJ LlJ LLli6 i.i•+Js t r r-rwa w•.w
RECE,v,:D FEB 167017
Ion
FWIUDA ENERGY CONSENYATION CODS
Mandatory Duct luspecdoil Cer"fic atiou o(BVAC Change-out
(For use WWn pawl!of tlae duct wdJor iittAC a sw, hex bate!!repinoed(sedttat 101 7.1.1 lR FS 553.4 }
aDwner: ,�,_,,,.�, Gvntra+ccor rrante: ��
streetJWdraro;� �v=) � � aurtsd;tVan• MUdid+ t QW
Cw. f/b a-
Final lmgwltol dace:
I toft that i#rave ledpaecbed the duct worts anciart M wm mvtAC unit refinu :at by the tea 1wed
Amm and found astarapiies rtiittt the r+agrtir�em>tms a rt$wdnat MA.7,1.1 as Indic awd beklw:
Wham neQelod,th!�rnakrtir ducts hm been soalaad using ratintoraed arta ft air OWW
approtnrd ealutva,wvt.
* Wft am located latitlrin conditioned spate.(Section U)IA.7.1 vaceptift 1) .
* The joints or seams are already seatod with fabric and rnan *(Section 1A1.A II-I
exception 2)
a ovstem was tested(see barhaw)and repairs worn-made as ros=ary.--(3enCim
-102-4.7.1.2 exoption 3)
t�rtnted Natures
1
am"Vewes Limme ail• C
Shrta i3cai M*.
I a rtified t!rave t eowd the rvnpiam air ditibut lon systarn(s)rraferancud by the permit lb tard aaborrar oft
sa pretsura diffwurllal of 25 tie(0.10 in.w.c-]