HomeMy WebLinkAboutBuilding Permit Application 05/02/2018 16:11 7724626448 SLC CODE COMP PAGE 02/03
05/02/2018 03:58PM 7724612035 Steve Smith A/C PAGE 02/03
ALLAPPLICABLUNIF9 MUST BE CO MPLMp FAR APPLICATION TO BE ACCEPTED
Date: 2 Permit Number:
Building Permit Application
Planning and DevoloprnentSurvices
Bv11d1ng and Cade llegedatidn D101slon
2900 V1rginio Avenue,Fort Pierre Ft 3982
Phone:(772)462-7553 Fax:(772).462-:L578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line
Address: 7d %i
Legal Description: / c .y Gr a. t
Or
PropertyTax ID#: �- �" Qop- Y Lot No. Zer
Site Pian Name: Block No.
Project Name: —
Setbacks Front Rackl_Right Side:—Left Side:
Com'/ �� � � �i?C ��� �� !d .�t'1✓ ,�c'�+'�" �'"��
i ional work to rtormed t;in er sperrrn ,rec a appy:
�I�HVAC Gas Tank . E as Piping _Shutters Windows/Doors
L=J Electric Plumbing; Sprinklers 11 Generator Roof RvaP pitch
1'pta!Sq.Ft of Construction:�J� � S .Ft.of First Floor:
Cost of Construction.$, ,Tfi Utilities: Sewer oseptic Building Height.
WEdame ;�rrd r����o Name; stave BRIM
Address: �`'" � �� Company stave Smith Air Conditioning
City: m/f —&2= State:fZ� Address:8001 Eden Road
Zip Code: 3"S��S�f_-__ Fax:....!_ _ City:Fort Fierce SLate:Fl
Phone No. r�� G �� Zip Code- 34951 Fax:772 461-2026
E-Mail: _ Phone No,772 4611425
Flll In fee simple Title Holder on ne6tt page(if different E-Mail:stevesmithaceaol.com
from the Omer listed above) State or County License:CAC1812464120071
Nvalue of ronstmctlon Is$2500 or mtkire,a RECORDED Notice of commencement Is required.
05/02/2018 16:11 7724626448 SLC CODE COMP PAGE 03/03
05/02/2018 03:58PM 77246120313 Steve Smith A/C PAGE 03/03
DESIGNERJENGtNI=EIt: of ApplieabteMORTGAGE COMPANY: Not Applicable
Name; Name:
Address: Address:
City: i�State. Ow State:
e
-
Zip: Phone: zip: Phone: —
FEE SIMPLE TITLE HOLDER: �X Not Applicable BONDING COMPANY. Not Applicable
Mame: Name:T
Address:_._...._ _ Address:
City: City.
Zip: rM Phone: Zip:—Phone_
I certify that no work or installation has codnmenced prior to the issuance of a permit
I.5 .Lucie County makes no representation khat is granting a permit will authorize the permit holder to build the subject structure
ich Is in conflict with anyy pplicabie Hur6e Owners Association rules,bylaws or and covenants that may restrict or prohlbit Such
structure.Please consult wit your Home Qwners Association and raview your deed for any restrictions which may apply,
In consideration of the granting of this req>ested permit„I do hereby agree that I will,in all respeets,perform the work
in accordance with the approved plans,thei.Florida Building Codes and St.Lucie County Amendments.
The following building permit applications:Ire exempt from undergoing a full concurrency review:roam additions,
accessorystructures,swimming pools,fences,walls,signs,screen rootns and accessory uses to another non-residential use
WARNING TO OWNER:Your Mum to 1iRxm-d a Nafte of Commencement may result in your paying tlWlce for
improvements to your property.A Plotice of Commencement must be recorded and posted on the Jobslte
before the first inspection. If you intlend to obtain financing,consult with lender or an attomey before
commencin vu rk or redin ou'Notice of Comrrlewticement.
s
Signature of er/Lessee/Agent Signature of C ractor/1 icenFe Holder
STATE OF FLORIDA STATE OF FLORIDA
COLINTY OF_ COUNTY OI:
The fo Ing Instrument was acknowledge before me The forgoing instrument was acknowledged before me
this May of_._ILJI1( , 20 IS by this . day of 3-JM 20 ,�5_by
�r
(Name of
persso.n-acknowledging) (dame of person acknowledging)
94/
(Signature of Notary Public-State of Florift (Signature of ffotaty Public State of Florida)
Personally Known OR Produced Njuntificaatlon Personally Known ,OR Produced Identification
Too of Identification Produced; 'type of Identification Produced
commission No. � issionNo_�I �' (seal)
PUNX
13TA M OF WOrARY PUWC
• STATE OF FLORIDA
Revised 07115/2014 F.Ioft SAIMIS Cerm*FFM242
5/1712099
REVIEWS FROM' ZONING SUPERVISOR PIANS VEGETATION 5EATURTLE MANGROVE
COUNTER REVIEW!: REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS