HomeMy WebLinkAboutBuilding Permit Application 05/07/2018 15:10 7724626448 SLC CODE COMP PAGE 02/03
05/07/2018 02:31PM 77246120,'-6 Steve Smith A/C PAGE 02/03
All APRRIGASCE FQ IfST
BE COMPLIM13 FOR APPU CATION TO BE ACCEM13
Date: / Permit Number. oZ,l
Building permit Application
Planning and bevelopmatServlCets
Building andCode Regulution Division
2300VilginiaAvenue,Fort Pierre FL X.1782
Phone:{772}462.3553 rax:(772)r;652-1s7s ' CammLIrcial Residential
PERMIT APPLICATION FOR: 'To Select from;dropbox,click arrow at the land of line
Address: - �� O . /,,Ye r:
Legal Descriptio ` Gro
i Property Tax io :„ ?� ��-4DfJ Lot No.
Site Plan Name:_^ Plock No. .._
Project Name,
Setbacks Front� Back. .. Right Side: Left Side:
- I
Ad
ana wor K to b rfOrrne t.mderthis perms -ch%K a ZIPPY,
19,HVAC Gas Tank �as Piping _Sh=ers OWindows/boors
Electric plumbing OSpriniders 13 Generator Roof Roof pitch
Total Sq,Ft of Construction: �,�d Scl.Ft.of First Floor:
Cast of Construction:$ 06�� Litilitios Sewer ESeptic Building Height:
i
Name r,9 of a7�- state7
ame-StOmAddreSS �D ompany Smith Air Conditioning
Address,
8007 Eden Road
Zipcode: 3�rx Z _ Fax,,_— _ _-------- City: Pork Fierce - Mata:FL
Phone No. 7 _._ -r eM�3' _ 7i Code:34961 Fax:772 461-2036 -
E-Mail• Phone No.In 461.1425 --
Fill in fee simpleTitle Holder on next page f if different E-Magi;stevesmitbacgaoi.com
from the owner listed above) state or County Ucense: CACI 013484120071
It value of construction is$2500 or metre,a RECORDED Notice of Commancoment is required.
05/07/2018 15:10 7724626448 SLC CODE COMP PAGE 03/03
05/07/2018 02:31PM 77246120'!6 Steve Smith A/C PAGE 08/03
DE51GNERJENGINEER: 5 Iwot App iGable MORTGAGE COMPANY: „OX Not Appl#cable
Name: Name:
Address: Address:
City. _ Stater City: _ _ -State;
Zip:— —phone: .-- zip; Phone:
FEE simpu TinE HOLDER: P-XPApplicable BONDING COMPANY: ,. (,.Not Applicable
Name: Name: .
Address: Address:
City: --
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
55,Lurie Countyy make no caeca en tion that is granting a permit wlil authorize the permit holder to build the ub' str�cturQ
ihlu Is in onfl et with any appilcab�a Horne Owners Assouatidn rules,bylaws 4r and covenants that may restrisct ar prohibit such
structure.Pease consult wrth your Home Qwners Association,and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the*,Florida Euilding Codes and St.Lucia County Amendments.
The following building permit applications alre exempt from undergoing a full concurrency review.room additions,
accessory structures,swimming pools,fen0s,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencemmt may result In your parymg twice for
improvements to your property.A Notice Of Commencement musk be recorded and poatad on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing Work or re din uH-Notice of Commencement.
i
f5
Signature of wner/Lassen/Agent Signature of Q tractor/licehse Holder
STATE OF F4.ORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The fo ing instrumm�t was acknowledged before me The forgoing,instrument was acknowledged before me
this day of VINk 20..Ls by this day of Vnl- 20 _L5_by
I
(Name of person acknowledging) (Name of person acknowledging)
Atl— by -941
(signature of Notary Public-state of Honda (Signature of Wobiry Public-State of Florida I
Personally Known,, OR Produced I&nofication Personally Known X-- _OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. jt�U ission No. i '� � (Seal)NWARY ws
STATE OF DA Nf] ARY PUKX
• 1I STATE OF FLOMPA
Reyfsed 07115/2014 Eql*•.911trA19 00""=12M
517/20ig
i REVIEWS FRONS' ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REV{EIW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 77-7