HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2j00 Virqinia Avenue, Fort Pierce FL i4982
Phone: (172\ 462-1553 Fax: (772) 462-L578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IM PROVEM ENT LOCATION :
Legal Description:
Property Tax lD #:
Site Plan Name:
1428-702-1 003-000-0 Lot No
Block No.
Project Name:
Setbacks Front Back:
---
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR I-IKE CHANGEOUT
4 TON 16 SEER IOKW
CONSTRUCTION I N FORMATION :
AildiTibnafwoik-io bc-pcrfornred undeFtms pittmlF ch"ecli ill-IhE-appl\t -
Znuo. [--l cu, ront f--lcas eiping | ,lrnr,,",.,[-l *,noo*s/Doors
[-l c*nuruto,.|-| nont n RoorpitchElectric [l rtumoing tr Sprinl<lers
Total Sq. Ft of Construction:
Cost of Construction: $ 51 98 00 Building Height:
CONTRACTOR:
State: FL
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Address: 2748 IROQUOIS AVE
DED Notice of
N;
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DESIGNER/ENGINEER: _ Not Applicable
Name:
Ad d ress:
City
zip:
State:
Phone:
MORTGAGE COMPANY
Name:
_ Not Applicable
Ad d ress:
City:State:
zip:Phone
FEE SIMPLE TITLE HOLDER: Not Aoplicable
Name:
Ad d ress:
fifrl
7in'Phone:
BONDING COMPANY:
-Not
ApPlicable
Name:
Add ress:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is erantins a permit will authorize the permit holder to build the subiect structure
which is in conflict with anv dpplicable Home Ow6ers AsSociation rules, bvlaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, 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 intend to obtain financing, consult witl/ender or an attorney before
commencins work or record,iflR vour Notice of Commencement,
Revised 0711512014
Signature of Contractor/License Holder
s acknowledge{pefore me14 ,zol I bv
person acknowledging )
ure of Notary Public- State of Florida )
Personallv Known x OR Produced ldentification
ntification Produced
l\9. FF961459
SignatDreff Owner/Les ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF srLUcrE
of person acknowledging )
ure of Notarv Public- State of Flo
Personally Known x OR Produced ldentification
Type of ldentification Produced
Commission [\6. FFe6145s
PLANS
REVIEW
FRONT
COUNTER REVIEW
ZONING
REVIEW
SU P E RVISOR
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW