HomeMy WebLinkAboutBuilding Permit Application04/10/2017 09:24 7724663737 BOYLEAC PAGE 01
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ALL INFO MUST BE Como FOR APPUCAYM TO BE ACCOM �L J
Date
rO
Permit Number:
Building Permit Application
Planning and Development Services
SulOng and Code Regulation Dh*ion
2300 Virginia Avenue, Fort Pierce FL 349A2 Residential
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID
Site Plan Name:
Project Name:
Setbacks FrontR, _ Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
llula y U&( � L ARD A 3 bn Ito 5" UJlow
wmu matt * WACx So al�* and Aar Hu de Uadd
INFORMATION:
HVAC LJ Gas Tank LIGas Piping
Electric 0 Plumbing []Sprinklers
0 Shutters 1 Windows/Doors
11 Generator 0 Roof
Total Sq. Ft of Construction:Ft. of First Floor:
Cost of Construction: $ 4300.0d Utilities:Sewer 1:1Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 11h b6flu.2
Name:—airkilei F.
Addres :
Company: i
City: S ate:
Address: A
Zip Code: 3 Fax:
City:
State: FLI
Phone No.-Il-007J,Zip
Code: „1jaJ i
Fax' 1'1' n -�2.
E -Mail:
Phone No.11L41k
FII in fee simple Title Molder on next page ( If different
E -Mail_ L
from the Owner listed above)
State or County License: CgI$I$i
11valw of oonstructlon k $3SW or more, a ie Lummu mmue or Lommeouermnt o.asyuw%M.
04/10/2017 09:24 7724663737 BOYLEAC PAGE 02
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 11
Name-
Address:
qty: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
CRY:
Zip: Phone:
MORTGAGE COMPANY:
____ Not Applicable
Name:
Address:
W. State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name
Address:
CIN: , - -
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
lze lnTe nres, build
suore%YIaoo�d
structure. � wrlh �review Vmw deed fat anywsW*
-
in
corllsid"im of the granting of" requested permit, I do hereby agree OW I will. in all respects, perform the work
in aecordarrce with the approved plans, ow Florida &Wding Codes and St. Lude County Arrrertdrnaft
The foibwiag bung perrrrc applications are exempt ban undergolM a full concurrency mwim : room adds ions.
accessory structure4 swimming pods, fe+rce% walls, signs, ween morns and amessmV uses to another r►orrtes~denNal use
WARNING TO OWNER: Yowr tegwe to Record a Notice of C0 I W a I r a 11 it tnay result In 1p W p-11111 twke for
Improvements to your property. A Notice of Commencement 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
lure of ContractorAwnse Holder
STATE OF FLO A
GOUNITY OF
The�Y e vwas �Wbefore me merit before me
lA
(N� of person e ng) (Name of person )
INITIALS
{
(Swiwm of
(Signature of N c- State of Florida)
of Florida)
lienon
Person laiu�i�l�'il
Type J. COMOU
�YPe
pM • Sw d FWW
Ce imm"o1M I N Ol TI>N
MR low
Damm CowrlNW" I N 01 1{
�q
Corn
Mw Awaiiijilm ~
omwoo. x11nt MN 1.
tKMl DO* M o" Nobly AM.
Oand.G iMoupn MMIoM) Mlll,
Revised 07/15/2014
REVIEVVS
FRONT
I
ZONING
SUPERVISOR
PLANS
VEGETATION
REVIEW
SEATURTL.E
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
INITIALS
04/10/2017 09:24 7724663737 BOYLEAC
FLORIDA ENERGY CONSERVATION CODE
Mandatory Duct Inspection Certification of BVAC Change -out
(w use when pert of the duct and/or BVAC wMn has been replaced (Ssctlon Ift4.7.Ls & FS SUJ12)
Owner.
Street Address:
W. - Be(
rit„ M9 I
PAGE 03
• •q..►_ IJP. u.L
c,muww Mr a 4
, �j �Ml
JurbdkWn• Sit Lueh Cam
Pants N&.@
Ansi hnepeWort deMs
I cartify that I heve insp@Md the duct work assodpt+ed with HVAC unittele, by ft pamdt Rood
above and k c "plies with the r+eeiutremenn of Section 101A.7.1.1 ss indicetad below:
Where needed, th! eatiatinr duets fiver been sealed using relnforcad ' Mstk or code
approved apuivelo t.
o Ducts are located within cnndtd*r*d 3peCe. (SaetloA 101.4.7.101001 tlon 1)
o The Joints or grams are strew* seaW with fabric and mesdc (Section 10LAL71.1
eueption 2)
o system uses tasted (see below) and repairs were-rnade a mcamy. — (Mian
ibL4.7.1.1 exceptio S)
)1-*nWWFv:
Printed Nerves
Cont mMes Lk*me d•
Sts"► titans".
l cartlfied 1 have tea#ed the repiam air dlwibuton sysam(s) referenced by tM permitluted above at
a prewure 4dW%r*m W of 25 PaimMe (0.10 In. w.4