HomeMy WebLinkAboutBuilding Permit Application 10/13/2017 11:58 7724626448 SLC CODE COMP PAGE 02/03
10/13/2017, 08:45 77246,2036; STEVE SMITH AC PAGE 87_/03
ALLAPPLICA611 I FOM $T 6ti cDMPLETED'FOR AP,,PUCA*TION TO Bt:ACCEPT D I )
Date- p r Permit Number: I
REC
W Viz-.r
Building Permit Application OCT 16 2017
Planning dnd Development Servkes
8ullding and Code Regulft0ars DN1319nl
29od VirgirgaAvenue,Fort Pierre FLA982Residential
Phone:(772)462.-1553 Fax:(772-1452-1578. I dfrimercl'
PERMIT APPLICATION FOR: To soled from drapbm, dick arrow at the and of line
Address: /-
Legal Description: S ; d J rT Z7
propertyTax lD#: 00/0— "' 7 Lot NO.�M.
Block No.
Site Plan Name:
Project Name:
Setbacks FrontBank: --_ Right Side: Left side:Adifi .
Ona war o rm un er �s erm s ec a app
HVAC GaSTanli Gas Piping _Shutters ❑Windows/Doors
Electric �Piumbin�,
Spritikl�rs 0 Generator Rauf Fieof pdt
Total Sq.Ft of Constructfom S .Et-of First Floor.
Gust of Construction:,$ — UtiliCles Sewer oStpt'Ic awiiding Height: Y
Name Name: smith
company:Stave amilt►Air Conditlonitlg
Address: °' ; 8001 Eden Road
o fy� ,�� �Y State: Address:
City: Fax-:
' City: FortPlarca S!a#e:�
Zip Code:
�2 ,. ��/ Zip Code:34951 Far.772 1181096
Phone X30, 772461-1425
E-Mail: Phone No.
Pill in tee sitnpie Title Halder on Page(rf different. E-Mail:etavegrr,ithao�aoi.oasxi
State or County Licensat CA0181$454/20071
from the ChAmer listed above)
Nvalue of cam&uctlon Is W5110 or snore,a RECORDED N :lcv Of C mmeocrfaent is raqulmd.
10/13/2017 11:58 7724626448 SLC CODE COMP PAGE. 03/03,
10/13/2017 08:4.5 7724612036! STEVE SMITH AC PAGE 03/03
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pESIGIiIE. ENGINEER: x 1�lor Applicable ty ORTGAGE COMPANY: ,�Not Applicable
Name: ' Name:
AddresS" Address:
City: State: City: Stag" '--
Zip: Phone: Zip:- Ph�ne-
PEE SIMOLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x(dot Applicable
Name' Name:
Address:; Address:
City: Clty:
Zip: Phone: _ Zip: _ Phone:
OWNER/comTRAGToR AFFIDWS Application is hereby made to obtain a permit to do the work and installation as indicated.
I Gertlfy that no work or Installation has!commenced prior to the Issuance of a permit.
st.Lucle Count makes no representation that is granting a permit will authorize the permit holder to build the subject Str�rture
Which is In?can iCt with any applicable fjome Owners Association rules,bylaws pr an covenants that may restrlrt or prop rt such
structure.Please consult with your Hotr a Owners Association and ravlew your deed for any restrictions which may apply.
In consideration of the granting of this Requested permit-I do hereby agree that 1 will,In all respects,perform the work
in accordapce with the approved plans,the Florida Building Godes and St.Lucie County Amendments.
The following building permit applicati0s are exempt from undergoing a full concurrency review.room additions,
accessory truc+turm swimming pools,fences,wails,signs,screen roams and accessory uses to another non-realdentlal use
WARNING TO OWNER:Your faWre to Record a Notice of Commencement mil y result In your}saying twice for
Impprovements tci your property.!A Notice of Commencement must be recorded and posted on the jobsite
b[�fore the first inspection.If you intend to obtain financing,consult with leinder or an.attorney before
commen?cin otic or recordin oar Nr�tlte of CornnnencernenL.
signetu o€Ownerl Agent/Lessee signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORRIA
COUNTY,ffF — . COUNTY OF jz�I _
The nstrument was acknowledged before me The for�oing Instrument was acknowled d before me
this�daY ��■�kr _?o by thls' dayof, s4a:h0 �- ,24 1by
. "-"1�7L�_�,_3rar�i fir, ■, , �....��� Y_�s ..LL t�'�"ti
(Name of person acknowledging) (Name of Person acknowledging)
r �
(Signature of Wbry Pub z State of Vkorida} (Signature a Notary Fu llcr State of Florida}
Personally!Known OR ProduOd Identifleatian " . . Personally Known_OR OR Produced ldentifttion- ..---
Type of 16nuriication Produced; 'C? Type of IdentiRc4wi Produced 'Ck-- --
Commission No.OF 1CIR3� (Sea10 �� Commission rue. i'��3� (Seam DAVIS
lV(7FARYi lE1slG WYrA4YYPlI"
STATSOF FWRIQA
Revised 07/15/2014 Qmw*FPI081s5
•� tea 3I!sIJ2Q#8 res 3!3#J�Q#8
REVIEWS FRONT ZOlk1NG SUPERVISOR . PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER' REVIEW RMEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
D E
COMIPLEtED