HomeMy WebLinkAboutBuilding Permit Application Jul 27 17 01:44p Ricciardis Heating&A.C. _ 863-357-0790 p•2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r7
Date: `7 c.7-- �_ Permit Number: 1 / �—
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Building Permit Application JUL
2'7 2017
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue,Fort Pierce Ft.34982
Phone:(772)462-1.553 Fax: (772)462-1578 Commercial Residential ,
PERMIT APPLICATION FOR: To Select from dropbox,click arrow at the end of line
PROPOSED IMPROVEMENT.LOCATION:
Address: :260 '. a GF A 4 �Q S'4 C GrC!C
Legal Description: ."e-A jeae-r
Property Tax ID#: ' �/ 7^ ��/• �d�' 0&'J a Lot No.
Site Plan Name: ,�l �, Block No. 3
Project dame: ��Girr �ko di
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
if- ka-rrblft-or 5 1(0 tile
CONSTRUCTION INFORMATION: .
Additional work to be verformed under tispermit-checka appy:
NHVAC 0 Gas Tank ❑Gas Piping F]Shutters Lt Windows/Doors
Electric F-1 Plumbing L�5prinklers FIGenerator EIRoof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$.Q64/-5 Utilities:CSewer F_1Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 0a a ej 13&&A Name: M (.- 13-e.,
Address: 2Z—O 9-61 oE!___1 t 1- G f Company tc riga r S
City: d 6'-E- S �-L ! _ State: ( Address: ! 7 7 i J. &%A.,eige A Zi-e S f
Zip Code:`s C19 e 3 Fax: City: ,- f`4- -3 art Ci{ , Staten
Phone No. !_ - 3�!- if-J Zip Code: 393S73 Fax: `6:3-x_57-6? a
E-Mail: Phone No. 56 1- Q•-a 9- 3,.-7 f
Fill in€eesimpleTitle Holder on next page(if different E-Mail: Q Q: iegnx r4 f.ne /hon 1 Ga-"k-_
from the Owner listed above) State or County License:
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jul 2717 01:45p Ricciardis Heating&A.C. 863-357-0790 .
DESIGNERf£NGINt 6R: tit kn--50Za51e MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
—
CRT Stas. L W. State:
Zip., Phone: Zip: Phone:
FEE SIMPLE TITLE HMEIL-
--eN&Applkable BONDIOG COMPANY: - of Applicable
Name: Name:
'Address: Address:
CRY: CrtYr
Zip: Phone: Tip:: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
St-Lude Courttyr makes no representation that Is granting a permiit voltl authorize the perp*holder to bwId the phlect ,r�uM
which is in oorriiictwittR applicable dome Owners AssocieRlaKr rules,bylaws or an covenants that rrray restrict or prpm such
structure_Please consult your Home owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested penult;I do hereby agree that i vAIL in all respells,perform the work
in accordance viitth the approved plans,the Rorida BuiWing Codes and SL Lucie County Amendments.
The following building penult applications are exempt from undergoing a fuN concurrency review:room additions,
accessory structures„swimming pools,fences,walK srgrrs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Ccmmrencement n v residt in vow payfng tvAm for
improvements to your property.A Notice of Commencement must be recorded and posted an the jobsite
before the first inspection.if you intend to obtain financing,consult with bender or an attorney'bef ire
commencing work or recording ur Notice of Commencement.
s
Slffiu-CUM of Ogm—&AWsgrWCoMftiUw as Agerttfor Owner s1wftre 6f Comrattor Cense Hol
STA'T'E OF R.ORID, STATE OF R QRidA
COUNTY OF %(,& f dw COUNTY OF
The fiorga tg instnmtent vvas admowledged before rue 'The forgotr g instrument-was edwx wledged berwe me `
thb aL day of this At,day of Ygra .20..14,by
(Name of penin acknowtevaing) (Name of perm ad mwiedging)
IS ature of N State of Florida) 5 re oft I b1lof State of Florida. - 66r,"
)
Personally Knownri OR Produced Iderrtifiratlorr p oily Known_ OR Produced Iden tion
Type of iderrOcation Produced Type of identification Produced
Commisgon W. l ( Commission No..0�l 1L--n5,nW i (5eai�
�bAbiiaticlirdlJrcMa
t,igrir
Revised 07/15/2014
REVIEWS FRONT ZONING SUPRVWR PLANS VEGETATION SEATURTLE. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS