HomeMy WebLinkAboutBuilding Permit Application I
ALL,APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED I'MPROVEM'ENT LO'CATIQN,
Address: 110 RIDGE CIRCLE
Legal Description: B S HARRIS S/D B;K 2 BEG SW COR LOT 10 RUN E ON S LI SAID LOT 10..POB BEING PART OF UNNUMBERED TRACT OR 3652-2465
Property Tax ID#: 3532-503-0025-000-8 Lot No.
Site Plan Name: I Block No.
Project Name: KIMBERLY DALES.SANDRO
Setbacks Front Back: Right Side: Left Side: I
DETAILED DESCRIPTION OF WORK :
AC CHANGE OUT OF TRANE 4 TON SYSTEM ��,
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CONSTRUCTION INFORMATION '
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Additionalwork to be nertormed unclert Ispermit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 4300 Utilities: _Sewer Septic ! Building Height:
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OAU1%3NER/L'ESSEE ` TOR ' s "'
Name KIMBERLY DALESSANDRO Name: GRETA B SMITH
Address:110 RIDGE CIRCLE Company: ALL YEAR COOLING AND HEATING
City: FORT PIERCE State:FL Address: 1345 NE 4TH AVE
Zip Code: 34982 Fax: City: FORT.LAUDERDALE State:FL
Phone No. Zip Code: 33304 Fax:
E-Mail: Phone No. 954-566-4644
Fill in fee simple Title Holder on next page (if different E-Mail: DDANIELS@AYCAIR.CO,'M
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from the Owner listed above) State or County License: CAC058160
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: '
FEE SIMPLE TITLE 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 of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with 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, 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 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 rion-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result' ur paying twice for
improvements to your property. A Notice of Commencement must be recorded,4nd p sted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lende or a attorney before
commencing work or recording our Notice of Comm cem t.
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Sign t re o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF BROWARD
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'3 day of �' 20)Tby this'3i day of MAY ,20 / by
6��J� : At
(Name of person acknowle ing) (Name of person acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida)
y ;sYPu DITT IU A DANIELS y
Personally fir ' z�: f� r��cl��r�t�f�iti n Personally Known x ,, .P9R Pr��gq��icIELS
Type of Idei �EXPIREts U010ber 30,2018 Type of Identification P c _ Ot 3126
� EXPIRES Octoer30,2018
Commission Commission NoSeal)
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SENTURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ,
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