HomeMy WebLinkAboutBuilding Permit Application 06/06/2018 11:07 7724626448 SLC CODE COMP PAGE 02/0:
06/06/2018 07:31AM 7724612036 Steve Smith A/C ,
PAGE 02/03
ALLAPIF NFO UST BE CONIPLETEO FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Number. v V i
RECEIVE
Building Permit Application JUN 06 g
Planning and Development Services Permitting Depa pent
90ding and Cods Regulation Division St. Lucie Cou tY
2300 Vlrginia avenue,Fort Pierce FL 3�982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
` PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end cf line
Address: to-7
Legal Description: ��' r i' l r f
Property Tax ID#: f� �- �i 'd1Zl-^ � Lot No. /�' 2,
Site Plan Name: Block No.
Project Name:
Setbacks Front Bacil.: Right Side: Left Side:
O/ I
rz"
Fah G f/��rG`� J����,q � t�dG�L✓rT� �G���✓ 7z
AciditiOnal Work v arm un er this permn—check ali appy:
HVAC Gas Tank! Eas Piping _Shutters I___L Windows/Doors
Slactric Plumbinii: ❑Sprinklers Generator 1-1 Roof Raaf pitch
Total Sq_Ft of Construction: 2 5 .Ft.of First Floor:
Cost of Construction:$ �i�t� Litilities:nSewer ElSepticBuilding height:
Name f5° , r' Name, St€ve smith
Address: U Azo .42 i, Company:Steve Smith Air Conditiooing
city: State: Address: 8001 Eden ROS
Fort Pierce FL
' zip Code:��`P.�� Fax:_ City: State:
Phone No. 72 -� � Zip Code: 34951 Fax:772 491-2036
E-Mail: Phone No.772 481-1425
Fill in fee simple Title Holder on next page(if different E-Mail. 5tavesm0thacceol.com
from the Owner listed above) Stat@ or County License: CAM 613454120071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
06/06/2018 11:07 7724626448 SLC CODE COMP PAGE 03/03
06/06/2018 07:31AM 77246120136 Steve Smith A/C PAGE 03/03
sign
DE5IGNER/ENGINEER: r >t.Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: address:
City: State: City: State:
Zip: Phone: _ Zip: Phone:
FEE SiMPLE TITLE HOLDER: Foot Applicable BONDING COMPANY: XNot Applicable
Nance: Name:
Address: Address:
City: City:
Zip: Phone, Zip; Phone.
i certify that no work or Installation has ccmmenced prior to the issuance of a permit.
St.Lurie County makes no representation.:hat is granting a permit will authortte the permit holder to build the subject structure
which 15 in conflict with any�ipplicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrtb your Home Owners Association and review your deed for any restrictions which may apply,
In consideration of the granting of this regLiested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,this Florida Building Codes and St.Lucie county Amendments.
The following building permit applicationsiare exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fenl�es,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fallurei to Record a Notice of Commencement may result in your palling twice for
improvements to your property.A,'Notice of Commencement must be recorded and pasted on the jobsite
before the first Inspection.If you irtend to obtain financing,consult with lender or an attorney before
commencing rk or reqmcling voiiir Notice of Commencement_
s
_Signature of weer/Lessee/Agent Signature of Go tractor Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The f%going instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this day of JUP1t 7.0 x$cl)y this4 day of J—Mt- 20 j_S_by
(Name of person acknowledging) (Name of person acknowledging)
ZA, /W v
(Signature of Notary Public-State of Flor da) (Signature of Wotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known _OR Produced Identification
Type of Identification Produced_ Type of Identification Produced
I Commission No. �4V M ission No.f1 —J (Seat)
NWARTMAKA
Si 1E oR o r, Nrcror."ohm SKAW.r4.
Flo?ARY PUBLIC
• 113TATE Or RL,ORIDA
Revised 07/15/2014 WT?019 7C3&9W0WnWFM202
4W B*w 5/17/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
' CQMpLETE
INITIALS