HomeMy WebLinkAboutBuilding Permit Application 02/16/2017 13:20 7724612036 STEVE SMITH AC PAGE 02/03
Au AppucAW INFO MUST 8E COMR.ETED FOif A.PPUCATION TO BE ACCEarED _
Date: Permit Number.
R C EIVE
Building lPermit Application. FEB 1 6 2017
Planning and Development Services P E R FA I TTI N
Building nd Code Regulation 1)ivi5fon St. Lucie Cou y, FL
2300 Virginia Avenue,Park Pierce Pt$4982
Phone:(772)462-1553 Fax:(772)462-2578 Commercial Residential
PERMIT APPLICATION FOR: To Select f om dropbox, click arrow at the end of fine
Address:
Legal Description: ��
Property Tax ID#: /D" /f ao�ci'''a�� / Lot No.....
Site Plan Name: 91ockNo,
..- ... --
Project Name:
Setbacks Front Back: Rlight Side: _ Loft Side:
Zrf/�
AddittloOftal vvo W Forme under is permi•—c ec s a 5557y;
MVAC Gas Tank 0Gas Piping _Shutters Windows/Doors
QElectric Q Plumbing �Sprf�kiers �Generator �Roof
Total Sq.Ft of Construction: 2 fir ' S .Ft-of First Floor:
Cost of Construction,$ � Utilities: Sewer 0Septic Building Helght:
Name �.ar � �' Name. Steve Smith
Address: y 0 ,/l/- / _ �� Company: Steve Srnith-Air Conditiornirig
City: /i���r State:= Address; 8 001 Eden Rd
zip code: � Fax: ---- __ City:Fort Pierce State:FL
----
Phone No. ---------_ --_-__ '. Zip Code: 34951 Fax:772 481-2()36
E-Mail: Phone No. 772 481-1425
Fill In fee simple Tide Holder an next paged If diffr. r E-Mail; �tt8vesn7thRC(�2lol_cortt .
from the owner listed aborta) State or County License:
CAG1813454/.2()071
If value of construction is$2500 or more,a RECORDED Notice of CommaacenteM Is required.
02/16/2017 . 13:20 7724612036 STEVE SMITH AC PAGE 03/03
DESIGNER ENGINEER: x Ni t Applicabld 7Add
RTGAGE COMPANY: x Not Applicable
Narne: e:
Address;. ress:
City: State: City: State'
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone' Zip: Phone:
OWNER/CONTRACTOR AFFiDVIT:Application is hereby made to obtain a permit to do the work and Installation as indicated.
1 certify that no work or installation has commenced prior`to the issuance of a permit.
5t.Lucie Cpuniv,make no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in vonffllrct witt 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,1 do hereby agree that I will,In all respects,perform the work
In accordance with the approved plans,the Florida Suilding,Codes and St.Lucie County Amendments,
The following building permit applications are exempt from undergoing a full concurrency review:roam additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNiING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
irnprc�v*xnenU to your property.A Notice of Cori imencernent must be recorded and posted on the Jobsite
before the first Inspection.If you intend to obtain financing,consult with lender or an attorney before
commeni lngj Nork or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signature of ntractor/License Holder
STATE;OF FLORIDA
STATE OF FLORI
COUNTY. ( c:�ca COUNTY OF � ir,a«e.
The for Ding instrument was acknowled ed before me The faroing Instrument was acknowledged before me
this day of , y,.tr ,20�by this 1 day of .26Z]by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Ndbry Pub ic-State of Florida) (Signature of Notary Public-State of Florida}
Personally Known- _OR Produced identification Personally Known_OR OR Produced identification
-
'type of identification Produced-F-L- 3 'type of Identification Produced f L1�...._.
Commission No. iC - (SealjO Commission No. 1x "3 (Seal
$
�NOTr ARYPUBUO NOTARYPUBL€C
$TATE OF FLMDA �►
Revised 07/15/21314 cDm"FFIOM CorrrrrttFF`i0en5
res 3131 16 E*res 3/31/2046
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED