HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/09/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 148 WEST MEDITERANNEAN BLVD
Legal Description. 7160 - SP LAKES #1
Property Tax ID #. 716020076430 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
A/C REPLACEMENT: SEER 14 / 10KW / 4 TON / GROUND
Haaltional work to be Dertormed u
HVAC u Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5693
r tnls permit — check all that apply:
❑Gas Piping _ Shutters
Sprinklers a Generator
Sq. Ft. of First Floor: _
Utilities: 0Sewer aseptic
Windows/Doors
Roof Roof pitch
Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required
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: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
is in
which 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, 1 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 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
commgrwAngwork or recording our Notice of Commence t.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The forgoing instr e t as acknowledged before me
this a!Nay of r(L 20 +S by
The forgoing instr t was acknowledged before me
this `{qday T - ( 1 L--
of 20�r+3by
.DAN ;� t �(-�r.l t� �•4
�c..>>� r-t I ��.1 i� A
(Nameperson ackno ledging)
(Name ofperson acknowledging)
(Signature of Notary Publi tate of Florida)
gnature of Notary PublicS of Florida }
Personally Known OR Produced Identification
Personally Known�OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. FFgyS)e-+ (Seal)
Commission No. JE'Fqa,-��, ..� Seal)
Rule mcmallon
Revised 07/1�Commission # FF945187*+
Commission # FF945187
fires: November 19, 2D19
,,, Expires: November 19, 2019
�In
'oFV�.���' Bended thru Aaron o ry
REVIEWS#'tJZONING SUPERVISOR
galy
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS