HomeMy WebLinkAboutBuilding Permit Application Jul 10 2018 07:44AM WOLF .AIR CONDITIONING INC 772-464-1127 page 3
ALL L.ICABL E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
: - 1 -
Dat � 1Permit Number:
RECEIVED
Building Permit Application
JUL 14 2418
Plar 171ng and Development Services ST, Lucie County, Permitting
Buil ling and Code Regulation Division
230 Virginia Avenue,Fort Pierce FL 34982
Ph"
e:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PER IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line V NC
Adds: 6 CT •C
Legal bescription:
t:
Prop tty Tax ID# r-� �� 66 j - 000— OCU "3 Lot No.
Site Pian Name: Block No.
Prole • Name:
Setbks Front Back: Right Side: Left Side:
-( L` seer .
,
i
na wor a orme un er sperm -crieckallappy:
jiVAC Gas Tank ❑Gas Piping Shutters C1 Windows/Doors
lectrYc 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total q.Ft of Construction: So.Ft.of First Floor:
Costa construction:$ 3700 Utilities:OSewer OSeptic Building Height:
i
Namvn w, l' c..-r +--50 3n Name: �+
Addre$s: te'U ?5..<Y-e t Ove Company: CJ(5X f ,6 t
City: € �-�+ c r,,e State. Address: � �r
ZYp C de:4� 5� Fax: City: , C cc State:-88-
Phone No. LtCz)t4 Zip Code: Fax: L4 & cl- //.a 7
E-Mai : Phone No.
Fill in ee simple Title Holder on next page(If different E-Mail: Ccs v ge Is �
from
he Owner listed above) State or County License: C'
if value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
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Jul 10 2018 07:44AM WOLF AIR CONDITIONING INC 772-464-1127 page 4
,.. '" .'q,,r ;p, �p•r ti ,j1 a^t'� �W'k c:� 1.Kr�j�%�L r`�'
DE GNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Na�_t e: Name:
Address: Address:
Cityh Stater City: State:
Zip:! Phone Zip: Phone:
-
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Na e: Name:
Add ess- 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 cerC that no work or installation has commenced prior to the issuance of a permit.
St.Luc e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in confllct.with any applicable Home Owners Assocation rules,bylaws or and covenants that may restrict or prohibit such
struct re.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con ideration of the granting of this requested permit,I do hereby agree that i will,,in all respects,perform the work
in accc rdance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The fo lowing building permit applications are exempt from undergoing a full concurrency review:room additions,
.access iry structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARI JING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
impr vements to your property.A Notice of Commencement must be recorded and posted on the jobsite
befog&the first inspection. If you intend to obtain financing,consult with lender or an attorney before
comn,encin,R work or recording our Notice of Commencement.
Si ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Ucense Halder
STATE OF 0TY OF FLORIDA s• I 4 r STATE OF FLORIDA
—1 �^G - _ COUNTY OF
The forgoing instrum nt was acknowledged before me The far ping instrum w s acknowledged before me
this day of f�216 L 'by this day of +_-.L 20 f_r?'by
Na of person. king statement Nam of person m ng statement
Pers pally Known rnOR Produced Identification Personally Known�Produced Identification
Type of Identification Type of Identification
Prod ked Produced
{Sign iture of Not (Signature of Notary Pu fA FIRM)
E. My
MIKE MARTIN-
otary Pu tetef]5.2010
. No�[y�P}�bilC-State of koraCom isslon No. Come W.FF Commission No. ? * ALFAifaioa 0 FF 218851
Comm.Expires.A =; My Comm.Expires Apr 5,201ndeQ ttrouph tlatlonal �"�� Bm M MFo*National Notary
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DAT
RECEIVED
DAT
-COMPLETED
Rev.8 /17