HomeMy WebLinkAboutBuilding Permit Application 09/14/2018 03:17PM 7724612036 Steve Smith A/C PAGE 01/02
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ALL APPLICABLEr FO UST BE COMPLETED FOR APPUCATION TO BE ACCEPTED i ei 0 f}lin_
Date: 9 / 1 /e-
Permit Number: 1 601 - .5
CC...77,-11\11'Y .
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Building Permit Application
Planning and Development-Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)4624553 Fax:(772)462-1578 Commercial ' Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 0 at/1 .0-ei
Legal Description: j;379/7 ' ZO '7 X 1 i ii a' "if/ .T; /
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Property Tax ID It: .e".__:_rt ,--; _..,LLot No. 21
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Site Plan Name: Block No. Tr
Project Name:
Setbacks Front Back: Right Side: Left Side:
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'•.i lona war to .F.0 °me. un•er s perrn -c ec a h. appy:
HVAC L Gas Tank LIGas Piping III Shutters 1=1.Windows/Doors
0 Electric 17 Plumbing E5prinklers 0 Generator El Roof r Roof pitch
Total S .Ft of Construction: /7/Z Snip;of First Floor: '
Cost of Construction:$ 577747a Utilities:LI Sewer 0 Septic Building Height:
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Name - iSrarearalrir4r.41 -- - Name!Steve Smith
Address: ;.„,e- 41/4 4 Company: Steve Smith Air conditioning
City: a , State: ice Address:8001 Eden Road
Zip Code: 7 '717 Fax: City: F°It FierGe State:FL
Phone No 7Z '''6'.7--.6,JO Zip Code: 34951 Fax: 772 461-2036
E-Mail: Phone No.772 4811425
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Fill in fee simple Title Holder on next page(If different E-Mail: eteveamithac@laoLcom
from the Owner listed above) State or County License:
CA018137/20071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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09/14/2018 03:17PM 7724612036 Steve Smith A/C PAGE 02/02
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: .ik,Not Applicable
Name: Name:
Address; _ Address:
City: State: City: State:.
Zip:_ Phone:., Zip: Phone:
• FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: _. Address:
City: • City:
Zip: Phone: Zip: Phone:
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,wails,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 intend to obtain financing,consult with lender or an attorney before
commencin: w.rk or re mi;din: our Notice of Commencement. ., A
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_Signature of I wner/Lessee/Agent Signature of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _
•The fohgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1.1._ day of Ilfri( _ , 20 yi_by this_l_day of 14J1\4,- __,20 .I; by
,-
ie .. .olorm..., •.. A Isieita SciAiztotafi s44
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of otary Public-State of Florida)
,
Personally Known 1)\ OR Produced Identification Personally Known, X‘ OR Produced Identification
Type of Identification Produced Type of Identification Produced .
-
Commission No.rf,11-2.03 "siontmotefitmission No.ff261201 (Seal)
I,.NOTARY PUBLIC • moons Nelson Seutatnarla
lik .
. STATE of FLORA O .,.,,- PhjNOTARY PUBLIC
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'. ,,__.:, . Comus0721202 4'-STATE OF FLORIDA
Revised 07/15/2014 • Expires 5/17/2019 •
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expires 5t1T/2019
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW • REVIEW REVIEW REVIEW REVIEW
DATE •
COMPLETE . .. .
INITIALS