HomeMy WebLinkAboutBuilding Permit Application 07/24/2013 12:45 16319298443 RS AIR CARE PAGE 01
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/2/18 _ N
Permit Number: I
I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982
Phone: (772)462-1553 Fax: (772)462-1S78 Commercial Residential X
PERMIT APPLICATION FOR: TO Select from
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3410 Wax M �a�:.
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Address: Myrtle Trail, Palm City, FL 34990
Legal Description: Harbour Ridge, Plat# 1, Lot 34 (or 3888-1562)
Property Tax ID it: 4436-601-0034-000-3
Site Plan Name: Lot No.
Project Name:
Carta Garage Block No.
Setbacks Front Back: Right Side: Left Side:
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InsiaJl 2 Ton - 15 SEER - Straight Cool - Daikin Ductless Mini-split
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A(MitionalworktooeperrQrmed un er t sperms -C ec a apply' -
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
U Electric Plumbing Sprinklers Generator F]Roof Roof pitch
Total Sq. Ft of Construction: S�of First Floor:
Cost of Construction:$_ � , -~ Utilities: Sewer Septic Building Height:
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IN
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Name en M F'olly L Carla. Name: KoDerr inley
Address: Ineyar Oln Company: Cooling Advisors
City: Gu7brd
State: Address: 7593 n erpriSe r
Zip Code: Fax: City: Riviera aC State:
Phone No-_� _ Zip Code: Fax:
E-Mail: Phone No.
Fill In fee simple Title Holder on next page(If different E-Mail: Cat erine c00 inga visors-Com
from the Owner listed above) State or County License: GAC 1818662
if value of construction Is$2500 or more,a RECORDED Not a of Commencement is required.
07/24/2013 12:45 16319298443 RS AIR CARE PAGE 02
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DESIGNER/ENGINEER: Not Appllcabfe MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: Cit
Zip:� Phone y'- State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
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.
St.Lucie County makes no represe t tion that is granting a permit III authorize the permit holder to build the subject structure
which is in conflict with any applica�e Home Owners Association rues,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 5t_Lucle 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 nonresidential 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
comrnencin work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for owner 5 gnature of Contractor/License Holder
STATE OF FLORIDA p �j STATE OF FLORIDA � _
COUNTY OF f''",q�h� F�L;1,OG1 F COUNTYOF FLORIDA -,
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The for go'ng instru ent was cknowledged before me The forgoing Instrument was acknowledged before me
this �ay of r 20 I3 by this ``fday of ��20A by
�fJ"B�e I ��JE�t� oiJ� P,T 1 trJL
Name of person making statement Name of peren making statement
Personally Known X, OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced )� Produced _ r_4P
(Signature of Notary t#*d�3hWF&biiW�10 FF194a27 (Signature of Notary PublicFlor TMA DE"
EX S 20.2010 't �'' MY IMWN PK19w!
Commission No, f a� s�, commission No-_ 94,ith20 2019
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,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -�- -- �-- --�
RECEIVED
DATE
COMPLETED
Rev.8/2/17