HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t� �i
Date: • �1^ Permit Numb -. 0 42/ V
3- M
RECEIVED
Building Permit Application APR 10 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue,Fort Pierce FL 34982 y,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial.x Resl en Ia
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P` 'PdED IMPROVEMENT 0CATION
Address: 6810 US HWY 1 PORT ST LUCIE FL 34952
Legal Description- SEE ATTACHED
Property Tax ID#: 341580000010006 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED, DE,SCRIPTION=,SOF-WORK:,
CHANGE OUT CARRIER / TON RTU PACKAGE UNIT ZONE #1 42 ode . J 0 X1/-
CONSTRUCTION INFORMATION
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Additionalworkktoa er orme under this permit—check a appy:
RV E]GasTank []Gas Piping _Shutters ❑YRoof
ndows/Doors
❑Electric ElPlumbing ❑Sp rinklers ❑Generator Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ i� Utilities:�Sewer Septic Building Height:
OV1/NER/LESSEE
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= - CONTRACTOR rt
Name g=4 S PS Name:
Address: Po r/nn
yy- (`l I Company: COMFORT CONTROL OF SLC
City: State:FL Address: 1 5CO 5LAJ
Zip Code: 32341 Fax: City: pcy(_ State:FL
Phone No.321-302-6099 Zip Code: 34983 Fax: 772-785-9144
E-Mail:Ruthinc85@embarqmail.com Phone No. 772-785-9010
Fill in fee simple Title Holder on next page( if different E-Mail: COMFORTCONTROL34983@GMAIL.COM
from the Owner listed above) State or County License: CACO24379
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: _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 representation that is granting a permit will authorize thepermit 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 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
commeKing work or recordin your Notice of Commencement.
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L see/Contractor as Agent Sig ure o ract /License Holder =�;�;•rt�,,•`
STATK m E OF FL D m<
COUCO IVflf�@ n Xo
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The for oing instru ent was acknowledged befo The for oing instrument was acknowledged befor r1ems'1"
this—�da 26 by --�' this �� day o 20 Eby - L.R
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(Name of per on acknowledging) a (Name of perso acknowledging)
(Signature of N t ry 7=oduced
e of Flori ) (Signature of ary Public-State of Florida).
Personal) Known Identification Personally Known �R Produced Identification
Y
Type of Identification Type of Identification
Produced Produced
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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