HomeMy WebLinkAboutBuilding Permit Application 07/18/2017 08:33 7724626448 SLC CODE COMP PAGE 01/03
7724612(5 36 STEVE SMITH AC PAGE 02/03
ALL APPLICA INFO UST BE CR)MPI.MD FOR A01RUCATION TO BE ACCEP7IED
Date: Permit Number. �0
Building Permit Application) JUL 1 291
Planning and DevelopmentServires
Building and Code Regularion Dhl910 PEP
28a0VirglnlaAyenue,Fort Pie=P1L 4982 St. LUei- County, FL
Phone:(772)462,1558 Fax:(77Z)462�2$78 eammercial _ _ Residential
PERMIT APPLICATION FOR: To Select frorh dropbox, dick arrow at the and of lire
Address, C
Legal Description:
PropertyTax iD#: �Y/ �, �r ��/S'-- - Lot No. I-Az
Site Pian Name: Block No.f „
Project Name:
Setbacks Front Seem,: Right Shia:�Left Side:
��arr a'.•i �J` d /�+•f ���y'" ,��'�`4.�����G✓i��l��� �/rte y/tet' f7'�
A00WO"al war e r sperm �-a o a aPP Y
g§HVAC GasTank ' as Piping _shutters C1 Windows/otbars
IjElectric Plumbing Sprinklers EJGeneroor 0Roof lJ RW pitch.
Teras Sq.Ft of Construction: ��.1� ; .Ft,of First Floor;.--
Cost of Construction:$�,f!� !Utilities Sewer Septic Building Height"
Name_G. Name:&tsve sman
Address: Company, Steve 2MIM Afr Conditn"
city: stater Address, 13009 Adan Road
Zip Code: r/ r' _.,T Fax:^ ' City: Part Pleroa State:
Phone No. .,,�_ Zip Code:34954 Fax:77240WQ36
E-Mall:_ _ i Phone No.x 461'442
Fill in fee simple Title Holder on next page f if differdntt E-mail,steVQSrnfth8CQa0l.aere
from the Owner listed aboue) State or County License: CACIS13454!20071
tf Value of canstructloe is$2500 at maria,a RECCRM$D Noklm of Commancem ant Is required.
07/18/2017 08:33 7724626448 SLC CODE COMP PAGE 02/03
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DESIGNER/ENGINEER: x _Net Applicable MORTGAGE COMPANY; x Not Applicable
Name_. -. Name:
Address-, — -- — Address:
City: _State City: „State;
Zip: Prone: _ zip: Phone,
FEE SIMPLE TITLE HOLDER: x_Nut Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address:. Address;
city. — City: —
zip; Phone; zip: Phone:
OWNER/CONTRA"OR AEFIDVr".•':Application is hereby made to 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.
$t.LUCle Gountir flukes no re resent'iti�in thpt it granting a permit;%411 aat adze the permit ho{der to build the sub�ect str��icEure
which is ln;con ict w9th any pplicable Mrlame Owners Association rules,bylaws QR and covenants that mey�e lila r rohl01 such
structures.Please consult with your Sonve Owners Association and review yaur deed for any restrictions wh1�may a�ply.
In consjdde ation ofthagrenting of this requested permit,i do heir by agree that I wi11,IR all mpect%pe form the worts
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit spplicaticr►s are exernptfrom undergoing a full concurrency review:room additions,
accessory structurea,swimming pools,fsnces,walls,signs,screen rooms and accessory uses to another nen-residential use
WARNING TO OWNER:Your fallure to Record a Notice of Cornmenciamenet may result In your paying twi�te for
Int ravernents to your property.A Notice of Commencement must be recorded and posted on the jobsite
bNore the first Inspection.If you Intend to obtain financing,consult with lender or an attorney before
cornmenicing,work or recording spur Notice of Commencement.
f
619natu f owners Agent(Lessee Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORI
COUNTY OF COUNTY0F _tir e
The oing Instrument wss.acknowleQmfore me The fier vIng Instrument was acknowled erl efore me
this day of Tk c ,2t1 by this`'i day of .
Ail
(Name of person acknowledging) (Name of person acknowledging)
(Signature of ftbry Pub c-State of Floido} (5ignaturp o Notary Public.State of Florida)
Personally'Known OR Producee Identlfle mon�_ Personally Known-OR Produced Identification
Type of*ntlficatiean_Produced,_D:,.. Type of identification Produced r-t-
CommWon No. 4C (Seal}} Commission No. in5tas4 (Seal
ERIC DAMS 6 twiS
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!wC►TARY E'r1t111C AIOI'11R1r pUt9tJC
STA'f'E OF IDA OF KDRUA wSrATE
Revised 07115/2014 ppttei�Mom MIM
drm 1 S 31311MIS
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW RMEW REVIEW REVIEW
DATE
RECEIVEQ
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COhAPL FD.