HomeMy WebLinkAboutBuilding Permit Application 11/16/2017 16:17 7724612036 STEVE SMITH AC PAGE 02/03
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )-/
Date: �/ �� Permit Number: f. /
RE 9
Building permit Application NOY 17 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone:(772)462-1563 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line }�
Address:
legal Description: G'fvi✓�e a'i !� r /
Property Tax ID#: � ��- �f�- pD� �4�--D _-•__ Lot No. 1i� z
Site flan Name.• Block No. !_e)-T
Project Name:
Setbacks Front Back: Right Side: Left Side:
Additionalworktonrformed underthisperm c eck all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/[doors
Electric Plumbing �Sprinkl�rs Generator Roof Roof pitch
Total Sq.Ft of Construction; f __.___-- S . Ft,of First Floor:
Cost of Construction:$ titiiities-tSewer ElSeptic Building Height:T
Name 2y: of -- ,,if Name:Stevesmhh
Address: ��D� �7 '! � Company: Steve Smith Air Conditioning
City: •ezeilr State:ZZ Address: 8001 Eden Road
Zip Code: ' �f Fax:. . --------. ... ; ..... City.Fort Pierce State:FL
Phone No. ZZdZ Zip Code: 84951 Fax:772 481-2036
I:-Mail: Phone No. 772 461-1425
Fill in fee simple Title Holder on next page(if different E-Mail:stevesmithac@aot.com
from the Owner listed above) State or County License: CAC1813454/20071
if value of constructinn Is$2504 or more,a RECORDED NoE1ce of commencement is required.
11/16/2017 16:17 7724612036 STEVE SMITH AC PAGE 03/03
NNW
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:_ Name:
Address: _ _ Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: __ Address-
City: __ City.
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced.prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne Owners Association rules,bylaws 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 plants,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,wails,signs,screen rooms and accessory uses to another non-residentlai 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. If you intend to obtain financing, consult with lender or an attorney before
commencinR work or remdlng your Notice of Commencement.
s
_Signature of dwnerl Lessee/Agent Signature o€Co tractor/License holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged.before me
this day of 7t 20 Eby this day of i 20 j_CLby
(Name of person acknowledging) (Name of person acknowledging)
A l ���
- - - --
(Signature of Notary Public-State of Florida) (Signature ofotary�tPublic-State of Florida)
Personally Known OR Produced Identification Personally Known I�., OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No. vl'J 004NNISnission No. (Seal)
STATE OF"0A tNOTARYPURLIC
EMMMPM12M SPATE OF FLOFUDA
Revised 07/15/2014 SH71 019 Com* FF23IM2
- 5/17l2Q19
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS