HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPI-ICABLE INFO N4UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare. 6120117 Permit Number:
Building Permit Application
Plonning and Development Services
Building and Code Regulcrtion Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (712) 462-L553 Fax: (772\ 462-L!;78 Commercial Residential x
PERMIT APPLICATItf,N FOR: Mer;hanical
PROPOSED IM PRO\/E M ENT LOCA]-I.ON :
Address: 7205 ELYSE CIRCLE
Legal Description:
Propefty Tax lD #:
Site Plan Name:
341 6-801 -0028-000-7 Lot No
Block No.
Project Name:
Setback:; Front
I orrntiro DESCRTPTToN oF woRK: I
LIKE FOR LIKE CHANGEOUT
4 TON 14 SEER 1O KW
CONSTRUCTION I N FO.RMATION :
rme0 unoer
To Cons
Co uctio
a 00lv:
[]e* eiping l-l *'noo*s/Doors
[]sp,inrru,,tltl E noor
Building Height:
Shutters
Generator
OWNER/LESSEE:
Name HARVEY KOEHNEN
Address: 7205 ELYSE CIRCLE
City' Igxf JI IIJCIE__ __ State: FL
Zip Code: 34952
--
Fax:--
p h on e 1Xs, 7 7 2-466-7 349
E-Mail:
Fill in fee simple Title Holder on next pag,e ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required,
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv makes no representation that is srantinq a permit will authorize the permit holderto build the subject structure
which ia in conftict with anv dppllcable Home Owfiers As5ociation rules, bvlaws or and covenants that may restrict or prohibit such
structure. Please consult With'!our Home Owners Association and review'your deed for any restrictions which may apply,
In consideration of the granting of this requested permit, ldo hereby agree that lwill, 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 non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. lf you intenrj to obtain financing, consult with lender or an attorney before
commencing work or recordin r Notice of Commencement,
Revised 0711512014
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SU PERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
MORTGAGE COMPANY:
Name:
_ Not Applicable
Phone:
DESIGNER/ENGINEER;
Name:
Addres
State:
Phone:
BONDING COMPANY:
-Not
APPlicableFEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
STATE OF FLORIDA
(Name of person acknowledging )
Personallv Known x OR Produced ldentification
ype of ldentification
mission f\e. FFe61
ure of Notary Public- State of Florida )
Slgnature of Owner/Lessee/Con
STATE OF FLORIDA
COUNTY OF srLUcrE
(Name of person acknowledgi
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission \s. FFe6145e
gnature of Notary Public- State of Florida )