HomeMy WebLinkAboutBuilding Permit Application07/11/2017 17:40 7724612036 STEVE SMITH AC PAGE 02/03
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ALL APPLICAi3 INFO UST BE COMPLETED FOR AP!PLICATIQN TO BE AccEp rED . (�2Date:21 Permit Number:
Building Oermit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vlrglnla Avenue, Fort Pierce FL 38382
Phone: (772) 462-1553 Fax: (772) 462-1578 Goinmercial F
PERMIT APPLICATION FOR: To Select froH dropbox, dick arrow at
Address: J-77,7/ fes, i/1 / 6,,-
Legal
I /
Legal Description: "Vl-ZIAr�ir 111'
PropertyTaxlD#: 4: —J -
Site Plan Name,
Project Name:
Setbacks Front Back: Right Side: Left Side:
sidential
end of fine
Lot No.
Block No._ --
C, %' //17
� % /J fQ�f✓ C��q�ac
��m�9�/liYl
HVAC U Gas Tank as Piping U Shutters
Electric Plumbing Sprinklo' rs Generator
Total 5q. Ft of Construction: ,oa Sal Ft. of First Floor:
Cost of Construction: $ 2" m :Utilities Sewer [ISE
Windows/Doors
11 Roof Roof pitch
Building Height:
Name/�i�i Irv, -r /� f.�1G Name: stsv®sm1tt, ,I
Address: Company: Steve Smith Air Conditioning
City: /<-Z:. rr0__ 11001 Eden Road State: Address:
Zip Code; = ��Tf� Fax: City: Fort Pierce - .._ State: FL . _.
Phone No. 77e- y&"/- <1flZf Zip Code: 34951 Fax; 772 451-2036
E-mail: Phone No. 772 461-14261
Fill lin fee simple Title Molder on next page (If different E -Mail: stevesmithaa(maoi.00m
from the Owner listed above) State or County LIcense l CACI 013454120071
If value of construction Is $2500 or more, a RECORDED Ndtice of Commencement is requked.
07/11/2017 17:40 7724612036 STEVE SMITH AC PAGE 03/03
DESIGNER/ENGINEER: _-!L—! Not Applicable
Name: '
Address:
City: 1 State:
Zip; Phone;
FEE SIMPLE TITLE HOLDER; x Not Applicable
Name:
Address::
City:
Zip: Phone;
MORTGAGE Coil
Name;
Address:
City:
Zip:
BONDING
Name.:
Address:
Zip:
OWNER/, CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to c
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Cpunty make no representation that is granting a permit will authorize the permit
which is in;con ict wit any applicable Home Owners Association rules, bylaws or and coven
structure. Please consult with your. Home Owners Association and review your deed for any
In consideration of the granting of this requested permit, I do hereby agree that I will, in all r
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Ame
The following building permit applications are exempt from undergoing a full concurrency re
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses
WARNING TO OWNER: Your failure to Record a Notice of Commencement may r
improvements to your property. A Notice of Commencement must be record
before the first inspection. If you intend to obtain financing, consult with lent
commertcininrork or recording your Notice of Commencement.
x Not Applicable
State:
x Not Applicable
the work and installation as indicated. .
i build the Subject structure
: may restrict or prohibit such
ns which may apply.
perform the work
!w: room additions,
another non-resldential use
ult in your paying twice for
and posted on the jobsite
or an attorney before=
5ignaturnf Owner/ Agent/ Lessee Signature of e'ontractor/Lie Anse Ffolder m
STATE Op FLORIDA STATE OF FLORIDA�
COUNTY COUNTYOF c l..c�c",�
The for oing instrument was acknowledged before me The forgoing instrument vitas acknowled ed before me
this day of � � , 20M by ibis `4 day of 5k� 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Wary Pub Ic- state of Florida) (Signature of Notary PA#c- State of Florida)
Personally? Known Cit Produced Identification Y,Personally Known OR Produced Identification
Type of Identification Produced Pt.- _ 'j Type of Identification Produced fit- 7C_N_•
Commission No i C3 = (sea, O DAVIS Commission N4. i'i3�3� - (Seat
A'S -6C DAVIS
N)TARyPua1.Ic WtARYjf'ilM
STATE OF FLORIDA
Revised 07/15/2014 Cat WFF1Q1015 Canm#FF1082:i
res 3134!x018 EnAres 8/84/2(
REVIEWS FRONT111E
ZONING SUPERVISOR PLANS VEGEwTATION SEA TURTLE FREVIEW
ANGROVE
COUNTERVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETED