HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: I `� 1 Permit Number:
•W. RECEIVED
Building Permit Application
Planning and Development Services ( APR 25 2018
Building and Code Regulation Division I
2300 Virginia Avenue, Fort Pierce FL 34982 ST_Lucie County, PL*rfrlttinQ
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION: l
Address: �r \ E"�� , 1rt t
Legal Description: 4949 Highway A1A#205, Fort Pierce Florida 34949
Property Tax ID#: 1414-602-0082-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
HVAC Change Out \ Qm 3 TO — 3 J 04 v S
CONSTRUCTION INFORMATION:
Addition ork to b rtormed under t fiis permit-check all app y:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Ll Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 6356.00 Utilities:]Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameS M Boris Robinson Name: Mark Matakaetis
Address:4949 N. Highway A1A#205 Company: Barker Electric Air Conditioning and Heating
City: Fort Pierce State:FL Address: 1936 Commerce Avenue
Zip Code: 34949 Fax: City: Vero Beach State:FL
Phone No.772-834-5828 Zip Code: 32960 Fax: 772-562-5340
E-Mail: Phone No. 772-562-2103
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Fill in fee simple Title Holder on next page( if different E-Mail: ericabarkerac@gmail.com
from the Owner listed above) State or County License: CAC057252
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: _KNot 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 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 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 inten to obtain financing, consult with lender or an attor ey before
commenci work orrecording our �
o ce of Commencement.
Sign ure of O er/Lessee/Contractor as Agent or Owner Signature of Contractor/License Holder
STATE OF FLO IDA STATE OF FLORII A
COUNTY OFS Uc�� COUNTY OF St- L i r
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
thisa.S day of 011,R C`�t 20 A' by this Q-5 day of0k p C \ \ 20_X_�by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced RC1- 1- Produced ) L
(Signature of Notary blic-S lEOB' ;� (Signature o gy,, lic Satt�Im#' tdid j"
M CO ISSIo 2n2C 1 MY COM SI �rOembo C 1
Commission No. "�` +' - t. ' I �,z
P► ;,bbou,; Commission AOR ,
,odldlbNµotadr Bonde Notary?-Wi -�.
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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