HomeMy WebLinkAboutBuilding Permit Application06/29/2017 12:49 7724663737 BOYLEAC I PAGE 01
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Reaulation Dtvbian
2300 Virginia Avenue, Fort pierce FL 34982
Phone: (772) 462-1553 Fax; (772) 462-157$ Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
s.larwec•l 3Q�3 e .I` 39 5! 1
,
Legal Description: ��'+ V1
Propgrty Tax 1D'#:
Lot No,
Site Plan Name: Block No.
Project Name:
f
i
Setbacks Front Back:_ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
P-7 9 Lk// (6
CONSTRUCTION INFORMATION:
o wor o orme under s perm �- e a app
HVAC Cas Tank Gas Piping Shutters
Electric Q Plumbing []Sprinl
Total Sq. Ft of Construction: /hn�
Cost of Construction: $ 346V • 0 v
/1
OWNER/LESSEE:
Ws L.J Generator
Sq- Ft. of First. Floor:
Utilities Sewer 0 Septic
CONTRACTOR:
Name:
Address: Company:
Com.E-M ff, - State- Address:
M�
Zip Code•Tiv-411L
, City:
Phone No.pLka
Zip Code:. -38995 I
E -Mail • Phone No..bosil4ag, Ft
� Y -
Fill in fee mple Title Holder on next page ( if different E -Mall:
si
from the Owner listed above) State or County License,
amstructio n is SM or more, a RE(MI)ED Notice of Commencement Is requlred.
Windows/doors
Roof
Building Height:
state: t' -- '
Fax: j '7
!2I
06/29/2017 12:49 7724663737 BOYLEAC PAGE 02
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
INSIGNE ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address:
CRY: State: city.-
Zip:
ity:Zip: Phone: Zip: Phone.-,
FEE SIMPLE TITLE HOLDER: Not Applicable
Name;
Address:
Zip: Phone•
Not Applicable '
OONDING COMPANY: ' INat Applicable
Name:
Address:
City: i
Zips Phone. f
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucia Coumv ma no rep n tion that is granting a permit will a Drize the permit holder to build the subject re
whichis in d anY appika a Home Owners As ociation rule; I or and covenants that may restrict or t ,it such
structure. Please consuR with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,) do hereby agree that 1 will, In all respect;, 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, ferries, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNEM. Your failure to Record a Notice of commencenurnt MR
improvements to your property. A Notice of Commencement must be recorded
before the first inspection If you intend to obtain financing, consult with lender
Signature of
Signature of
STATE OF FLORIVAt STATE OF FL
COUNTY OF --,t 4ALAL COUNTY OF
The forgoing instrument was acknowledged before me
this Afiday of 91 AA& 20i � by
(Name of person ae meW ng )
12
(Signature of Notary, bliic State of Florida )
Personally Known V Ok produced [den n -.
Type of Idenowt
sta ride
iN�sq �
dna AW Zi, Zp40
your payla twice for
posted on the jobsite
n attorney before
1'he forgoing instrument was adinowledaed befi4re me
thLsday of _'I' LAA- ' I , 20 .164y
kw
(Name of person admowl ging )
(signature of Notary PIIc-'
Personally Known (/
m ti 411 public
Ca
111y Comm E4
of Florida)
duced ide j; atlon
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DAZE
COMPLETE
INITIALS
06/29/2017 12:49 7724663737 BOYLEAC +w ��w PAGE 03
- - eft*. 171! b1
ST I.UC'1f -.
IPLORIDA ENERGY CONSERVA77ON CQD�
I
Mandatory Dint Inspecdon Certlf canon of BVAC Cbange-out
[Fw use whon part of on duct and/or HVAC V/Stem has bmn raplAc6d (Swfiton 101;4.7.L1 & FS 553.1 U)
I
Conbac rnonua �,' 6
]urbdi4tion: a Ludo County
i
Permit No.•
Anal Inapect{on chat.,
I cardiy that l have Inspocod the duct work assodMed with HVAC unk refeerMxIice by the permit lista d
above and (bund It complies with the requlrerrlelrris of Section 101.4.7.1.1 as indkUW below:
% i
cY ;ate needed, the eexkft ducts have been sealed using rrefri%raed mWk or code
approved equlvallent.
o Duch are locatrcf vwNhin wridl tlortad space. (Saedon 101..4.7.2 excepd=1)
o The joints or seams are already sealed with fabric and manic Ip Iisertion crt-IL
eweplion 2)
o System was tasted (see belav) and repairs were-nratlie els ry. — (SI don
• 1aL4.7.1.1. wcootion .1)
e
V s patum:
Printed Na
coistratmes uc nse 1r:
Raw ucanse
i certified 1 have tested the replace air distribution system(s) referenced IYy i�e permit ltattad abo" at
a pr4murie dif'Fereeltlal of Z'S Fastens (o,iS In. W.O. j