HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 12/06/2017 Permit Number: 4
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Building Permit Applicati®n ' '
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Planning and Development ServicesDEC 0
7 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
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Phone:(772)462-1553 Fax:(772)462-1578 Commercial ReSld'pntra,b ......•••.......
PERMIT APPLICATION FOR: li i
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!?ROPOSED 16VIg"IPROVEMENT l:OCATION � � ri
Address: 5517 Spanish River Road,Ft Pierce,F134951 j
Legal Description: PORTOFINO SHORES-PHASE TWO-(PB 43-33)LOT 204(OR 38101 2549)
Property Tax ID#: 1312-502-0105-000/8 Lot No.204
Site Plan Name: Portofino shores ! Block No.
Project Name: HVAC change out I. T
Setbacks Front Back: Right Side: Left Side:!
DETAILED DESCRIPTION OF WORK h ,� f
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Residential AC change out °A/ /6
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CQNST RUCTION INFORMATION :
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Additional work to be nertormedunder this permit–check all
that. _ appy. I _1
HVAC LJ Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers ElGenerator s Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 0 C) Utilities: Sewer 0Septic jl Building Height:
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-Skit "s, CONTR%�CTOR y t x .
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Name Rich Blunt Name: Tim Durfee
Address:5517 Spanish River Rd Company: Durfee's Heating Cooling LLC
City: Ft Pierce State:FL Address: 8007 Lakeisde way,-,
Zip Code: 34951 Fax: City: Ft Pierce State:FL
Phone No.772-480-6880 Zip Code: 34951 ;' Fax:
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E-Mail:rblunt01@gmaii.com - Phone No.772-97116884
Fill in fee simple Title Holder on next page(if different E-Mail: timdurfee@icloud,com
from the Owner listed above) State or County License: CAC 1818339
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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tSUPPLEMENTAL`CONSTRUCTION LIEN LAW INFORMATION``
DESIGNER/ENGINEER: «_Not Applicable MORTGAGE COM Ii ANY• Not Applicable
Name:MchBiurd Name:Timourree
Add ress:5517 Spanish River Road,Ft Pierce,FI 34951 Address: 5517 Spanish River Rd
City: FtPieme State: City: Ft Pierce II ( ' State:
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Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: !' _Not Applicable
Name: Name:
Address:8007 Lakeisde way Address:
City: City: I'
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: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.
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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 Home 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 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 resultin your paying twice for
improvements to your property.A Notice of Commencement must be recorded , id posted on the jobsite
before the first inspe ion. If you intend to obtain financing,consult with fender r an ttorney before
commencing work or recordipaour Notice of Commencement.
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Si nature of Owner/Lesse /Con ctor as Agent for Owner na ure of Contractor/ is se Holder
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STATE OF FLORIDA STATE OF FLO I�AI ,
COUNTY OF 5�. �- ��� COUNTY OF �rt. 1..-d'�
The f rgoing instru ent was acknowledged before me The forgoing instru I'nt was acknowledged before me
this day of C. 26-Alby this—L day of W-e..0 203_1 by
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Name of person making statement Name of per on making statement
Personally Known OR Produced Identification Personally Known lI OR Produced Identification
Type of Identification Type of Identification'
Produced r L ',)1- Produced
(Signature of Notary Publi -State ��Ns (Signature of Notary'P lic-State ENs
� ptJIPR,t�GG 02��2� I pCp,NNAM{RIE GG 022023
Commission No. alsSto1m11j�2en Commission No.L P..• b (�ycoM�► �t�6,2020
PIRES: a publicllnderwnier✓
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REVIEWS ZONING SUPERVISOR PLANS VEGETA ON 1'SEATURTLE MANGROVE
LINTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE "
RECEIVED ! ;
DATE
COMPLETED
Rev.8/2/17
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