HomeMy WebLinkAboutBuilding Permit Application 06/21/2017 3:58 PH FAX Q0002/0005
ALL APPLICABLE INFO MUST 86 COMPLETED FOR APPLIC 6XION TO SEACCEPTED f�
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Date: �~l l�- �� � Permit Number:
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Building Permit Application JUN 2 1, 291?
Planning and Development Services PEFUAITTING
Building and Code Regulation Division. St. Lucie Qi FL
2300 Virginia AVenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Corniinercial^� Residentia
PERMIT APPLICATION FOR: Mechanical
Address: ZG� !v' GiW ��p $l.� 8 U 17r#l�l� {-- QI�rCc'_ �L• 3�-F`l�'`�
Legal Description:�R•n� �' � c.c'r'/► 11� Q / �/ D vNa �N � !� L•oi`1.•ta
Property Tax ID#: 14 - 501+ 2 19 q 000 O Lot No.
Site Plan Name: Block No.
Project Name: " b A S)1i
Setbacks Front Back: Right Sid Left Side:
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mill
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hel� Coma M Ir A l 2 5 -- 5q, (o 011
8em -- to 14 - M R F rZLP�MTA l 312 35
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A0111tional work to b9i2crFormed unclerthis perm) -c e a appy:
HVAC Gas Tank Gas Piping _Shutters []Windows/Doors
0Electric Plumbing ❑Sprinklers Generator Roof
11
Total Sq.Ft of Construction: 105 S . Ft.of First Floor:
Cost of Construction:$ •,�70 Utilit es:U Sewer Septic Building Height:
Name M15AkLLf ,ijfiin� Name: S ,E. j V-Vzt&c/i
Address:H ZOO /y ih�V V A14 0910/t/ _ Company: ProMag Energy Group Heating a A/C
City: P-',1 ii Cra State:FL Address: 42051/2_ Metzger Road
Zip Code: 34343 Fax_ City: Ft. Pierce State:FL
Phone No. '7 Z-4(05-130Zip Code: 34947 Fax: 772-252-.4839
E-Mail: Phone No. 772-467-3227
Fill in fee simple Title Holder on next page(if different E-Mail: -S;Aide ry) COM
from the Owner listed above) State or County License: LMCA A8033
If value of construction Is$2500 or more,a RECORDED Notice o Commencement is required.
06/21/2017 3:58 PM FAX IR10003/0005
DESIGNER/ENGINEER: Nqt Applicable MORTGAGE COMPANY: Not Applicable p
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby inadeto obtain a permit to do the work and installation as indicated.
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 the permit holder to build the subject Structure
which is in Conflict with any applicable Home Owners Associatioi Irules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association ar d review your deed for any restrictions which may apply.
In consideration of the granting of this recivasted permit,I do h eby agree that I will,in all respects,perform the work
In accordance with the approved plans,the Florida Building Cod s and St.Lucie County Amendments.
The following building permit applications are exempt from and rgoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,scree i rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice if Commencement may result In your paying twice for
improvements to your property.A Notice of Commen ement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain fin ncing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Agent/Lessee Slgnature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_._ST• Lid L'/ COUNTY OF •��
The forgoing instrument was acknowled pd before me The forgoing instrument was acknowledged before me
this LL,!�day of,,TcJ/J 20-0 by , this A,**day of Lc1NE_ ,2D f 2 by
L oul 014 am F.
Name of Crs acknowled in LCL;JB&QI?Alt°Z g- g) .' LOWS IGOµEZ
( p g MYCOM SSION0FF (N a of er ten acknowled in := W COMMISSION 0 FF
EXPIRES:May 5,201 � /,1/ t EXPIRE$:May b,201
Bended 1rAu NafryPubfk / J ,11 Baba Ynro t1ofny Puelk u
(Signature of Notary Public State of Florida) (Signature of Notary Public-State of Florida)
Personally.Known OR Produced Identification Personally Known xxxxx OR Produced Identification
Type of Identification Produced__. Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE:
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED