HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/05/18 Permit Number:RE
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Building Permit Applica on ECE
Planning and Development Services APR -5
Building and Code Regulation Division z0�8
2300 Virginia Avenue,Fort Pierce FL 34982- Permittln
Phone: (772)462-1553 Fax: (772)462-1578 Commercial S>RehWe partrna
nt
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Drive Unit 771
Legal Description: Venture Out-Section C-Lot 172
Property Tax ID#: 0- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:T Right Side:T Left Side:
DETAILED DESCRIPTION OF 1NORK:
Like for Like AC Change out 3.5 ton split system 14 seer 8 kw
[CONSTRUCTIO.]NFORMATION
Additional work toe nertormed under tispermit—check all appy:
HVAC 0 Gas Tank F_]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator g Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2000.00 Utilities: Ln�Sewer Septic Building Height:
'OWNER/LESSEE- - :;`.CONTRACTOR:
Name Gerald and Eva Yakuben Name: Kim Wilson
Address:10701 S Ocean Drive Lot 771 Company: Premier Plumbing&Air LLC
City: Jensen Beach State:FL Address: 108 NE Dixie Hwy
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.7722293997 Zip Code: 34994 Fax: 7726921094
E-Mail: Phone No. 7726922500
Fill in fee simple Title Holder on next page(if different E-Mail: preplbgac@gmaii.com
from the Owner listed above) State or County License: 25222
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: %�Not:Applicable MORTGAGE COMPANY: { "'` (Vot.4pplicable
Name: Name:
.Address- Address:
City: "' State: City: ' State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zi p: Phpne: 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,permit will authorize the permit holder to build the subject structure
which isan can fct 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,l: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 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 tender or an attorney before
commencinli work or recordln our Notice of.Commencement.
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF'FLO] IE}A �� ^^ STATE OF FLORIDA
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COUNTY OF 1 CCIUNTY:OF
Thefalgoing instru n was acknowledge" fare me The amg instr m i.was acknowledged efare me z
this)day of � _ 1 L, 20 �bp this day of_ Li i 20 by
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(Nameofn acknowledging) (Name of person acknowledging')
(Signature of Notary Public-State of Florida)' (Signature of Notary Public-State of Florida.)
Pe }p-ksatsveCov��t ?�rq ifi� tifrcation Personal wn x OR Produced Identification
Ty e fcdCrUrPPlbtluced'"' _ Type of i Pri kion �4--
COUNTER
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Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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